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05.04.2016 | Male and Female Surgical Interventions (AL Burnett and CC Carson III, Section Editors) | Ausgabe 2/2016

Current Sexual Health Reports 2/2016

Contemporary Management of Penile Fracture: a Urologist’s Guide

Zeitschrift:
Current Sexual Health Reports > Ausgabe 2/2016
Autoren:
Fernandino Vilson, Susan MacDonald, Ryan Terlecki
Wichtige Hinweise
This article is part of the Topical Collection on Male and Female Surgical Interventions

Abstract

Penile fracture involves rupture of the tunica albuginea of the corpora cavernosa. It is typically the result of flexion-based trauma of the erect penis during intercourse, whereby the penis strikes the pubic symphysis or perineum. Classic presentation includes report of a sudden “pop” or “snap” followed by pain, rapid detumescence, and subsequent development of a darkly discolored and swollen penis (the so called “eggplant” deformity). Urethral trauma is seen in up to 38 % of cases. Diagnosis is primarily clinical. Early surgical intervention remains the gold standard and is typically associated with a positive outcome. Herein, we offer a review of the most up-to-date data on this topic, along with guidance from clinical practice.

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