Skip to main content
Erschienen in: Current Sexual Health Reports 2/2016

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

Contemporary Management of Penile Fracture: a Urologist’s Guide

verfasst von: Fernandino Vilson, Susan MacDonald, Ryan Terlecki

Erschienen in: Current Sexual Health Reports | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

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.
Literatur
1.••
Zurück zum Zitat Pariser JJ, Pearce SM, Patel SG, et al. National patterns of urethral evaluation and risk factors for urethral injury in patients with penile fracture. Urology. 2015;86(1):181–85. Database review with multivariate analysis of 3,883 patients. Demonstrates incidence of and current trends in evaluating urethral injury concomitant with penile fracture.CrossRefPubMed Pariser JJ, Pearce SM, Patel SG, et al. National patterns of urethral evaluation and risk factors for urethral injury in patients with penile fracture. Urology. 2015;86(1):181–85. Database review with multivariate analysis of 3,883 patients. Demonstrates incidence of and current trends in evaluating urethral injury concomitant with penile fracture.CrossRefPubMed
2.
Zurück zum Zitat Gaspar S, Dias J, Martins F, et al. Sexual urologic emergencies. Sex Med Rev. 2015;3(2):93–100.CrossRef Gaspar S, Dias J, Martins F, et al. Sexual urologic emergencies. Sex Med Rev. 2015;3(2):93–100.CrossRef
3.
Zurück zum Zitat Sahoo MR, Nayak AK, Nayak TK, et al. Fracture penis: a case more heard about than seen in general surgical practice. BMJ Case Rep. Published online [12 June 2013] doi:10.1136/:bcr-2013-009442. Sahoo MR, Nayak AK, Nayak TK, et al. Fracture penis: a case more heard about than seen in general surgical practice. BMJ Case Rep. Published online [12 June 2013] doi:10.​1136/​:​bcr-2013-009442.
4.
Zurück zum Zitat Amit A, Arun K, Bharat B, et al. Penile fracture and associated urethral injury: experience at a tertiary care hospital. Can Urol Assoc J. 2013;7(3-4):168–70. Amit A, Arun K, Bharat B, et al. Penile fracture and associated urethral injury: experience at a tertiary care hospital. Can Urol Assoc J. 2013;7(3-4):168–70.
5.
Zurück zum Zitat Alp T, Mammadov E, Usta MF. Penile fracture. Curr Sex Health Rep. 2008;5:76–9.CrossRef Alp T, Mammadov E, Usta MF. Penile fracture. Curr Sex Health Rep. 2008;5:76–9.CrossRef
6.
Zurück zum Zitat Garofalo M, Bianchi L, Gentile G, et al. Sex-related penile fracture with complete urethral rupture: a case report and review of the literature. Arch Ital Urol Androl. 2015;87(3):260–1.CrossRefPubMed Garofalo M, Bianchi L, Gentile G, et al. Sex-related penile fracture with complete urethral rupture: a case report and review of the literature. Arch Ital Urol Androl. 2015;87(3):260–1.CrossRefPubMed
7.
Zurück zum Zitat Morey AF, Dugi DD. Injuries of the external genitalia. In: McDougal WS, Wein AJ, Kavoussi LR, et al., editors. Campbell-Walsh urology tenth edition review. Philadelphia, PA: Elsevier; 2011. pp. 2507-09 Morey AF, Dugi DD. Injuries of the external genitalia. In: McDougal WS, Wein AJ, Kavoussi LR, et al., editors. Campbell-Walsh urology tenth edition review. Philadelphia, PA: Elsevier; 2011. pp. 2507-09
9.
Zurück zum Zitat Moslemi MK. Evaluation of epidemiology, concomitant urethral disruption and seasonal variation of penile fracture: a report of 86 cases. Can Urol Assoc J. 2013;7(9-10):572–5.CrossRef Moslemi MK. Evaluation of epidemiology, concomitant urethral disruption and seasonal variation of penile fracture: a report of 86 cases. Can Urol Assoc J. 2013;7(9-10):572–5.CrossRef
10.
11.
Zurück zum Zitat Swanson DE, Polackwich AS, Helfand BT, et al. Penile fracture: outcomes of early surgical intervention. Urology. 2014;84(5):1117–21.CrossRefPubMed Swanson DE, Polackwich AS, Helfand BT, et al. Penile fracture: outcomes of early surgical intervention. Urology. 2014;84(5):1117–21.CrossRefPubMed
12.
Zurück zum Zitat Zargooshi J. Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol. 2000;164(2):364–6.CrossRefPubMed Zargooshi J. Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol. 2000;164(2):364–6.CrossRefPubMed
13.
Zurück zum Zitat Majzoub AA, Canguven O, Raidh T. Alteration in the etiology of penile fracture in the Middle East and Central Asia regions in the last decade; a literature review. Urol Ann. 2015;7(3):284–8.PubMedPubMedCentral Majzoub AA, Canguven O, Raidh T. Alteration in the etiology of penile fracture in the Middle East and Central Asia regions in the last decade; a literature review. Urol Ann. 2015;7(3):284–8.PubMedPubMedCentral
14.
Zurück zum Zitat Ibraheim el-HI, el-Tholoth HS, Mohsen T, et al. Penile fracture: long-term outcome of immediate surgical intervention. Urology. 2010;75(1):108–11. Ibraheim el-HI, el-Tholoth HS, Mohsen T, et al. Penile fracture: long-term outcome of immediate surgical intervention. Urology. 2010;75(1):108–11.
15.
Zurück zum Zitat Levin RJ. Anatomy and physiology in the male. In: Wylie KR, editor. ABC of sexual health. Oxford: Wiley; 2015. p. 7–11. Levin RJ. Anatomy and physiology in the male. In: Wylie KR, editor. ABC of sexual health. Oxford: Wiley; 2015. p. 7–11.
16.
17.
Zurück zum Zitat Ozorak A, Hoscan MB, Oksay T, et al. Management and outcomes of penile fracture: 10 years’ experience from a tertiary care center. Int Urol Nephrol. 2014;46(3):519–22.CrossRefPubMed Ozorak A, Hoscan MB, Oksay T, et al. Management and outcomes of penile fracture: 10 years’ experience from a tertiary care center. Int Urol Nephrol. 2014;46(3):519–22.CrossRefPubMed
18.
Zurück zum Zitat Ahmadnia H, Rostami MY, Kamalati A, et al. Penile fracture and its treatment: is retrograde urethrography necessary for management of penile fracture? Chin J Traumatol. 2014;17(6):338–40.PubMed Ahmadnia H, Rostami MY, Kamalati A, et al. Penile fracture and its treatment: is retrograde urethrography necessary for management of penile fracture? Chin J Traumatol. 2014;17(6):338–40.PubMed
20.
Zurück zum Zitat Omisanjo OA, Bioku MJ, Ikuerowo SO, et al. A prospective analysis of the presentation and management of penile fracture at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria. Afr J Urol. 2015;21(1):52–6.CrossRef Omisanjo OA, Bioku MJ, Ikuerowo SO, et al. A prospective analysis of the presentation and management of penile fracture at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria. Afr J Urol. 2015;21(1):52–6.CrossRef
21.
Zurück zum Zitat Rivas JG, Dorrego JM, Hernandez MM, et al. Traumatic rupture of the corpus cavernosum: surgical management and clinical outcomes. A 30 years review. Cent Eur J Urol. 2014;67(1):88–92. Rivas JG, Dorrego JM, Hernandez MM, et al. Traumatic rupture of the corpus cavernosum: surgical management and clinical outcomes. A 30 years review. Cent Eur J Urol. 2014;67(1):88–92.
22.
Zurück zum Zitat Yonguc T, Bozkurt IH, Ors B, et al. Penile fracture with bilateral corporeal rupture without urethral involvement. Can Urol Assoc J. 2014;8(1-2):51–3.CrossRef Yonguc T, Bozkurt IH, Ors B, et al. Penile fracture with bilateral corporeal rupture without urethral involvement. Can Urol Assoc J. 2014;8(1-2):51–3.CrossRef
24.
Zurück zum Zitat Nizamani WM, Ali SI, Vaswani AK, et al. Ultrasound diagnosis of penile fracture. J Coll Physicians Surg Pak. 2015;25:12–3. Nizamani WM, Ali SI, Vaswani AK, et al. Ultrasound diagnosis of penile fracture. J Coll Physicians Surg Pak. 2015;25:12–3.
25.
26.
Zurück zum Zitat Agarwal MM, Singh SK, Sharma DK, et al. Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol. 2009;16(2):4568–75.PubMed Agarwal MM, Singh SK, Sharma DK, et al. Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol. 2009;16(2):4568–75.PubMed
27.
Zurück zum Zitat Shukla AK, Bhagavan BC, Sanjay SC, et al. Role of ultrasonography in grading of penile fractures. J Clin Diagn Res. 2015;9(4):1–3. Shukla AK, Bhagavan BC, Sanjay SC, et al. Role of ultrasonography in grading of penile fractures. J Clin Diagn Res. 2015;9(4):1–3.
28.•
Zurück zum Zitat Guler I, Odev K, Kalkan H, et al. The value of magnetic resonance imaging in the diagnosis of penile fracture. Int Braz J Urol. 2015;41(2):325–8. Small series that details what can and cannot be elucidated with MRI in the diagnosis of penile fracture. Excellent for understanding how this modality can aid in diagnosis.CrossRefPubMed Guler I, Odev K, Kalkan H, et al. The value of magnetic resonance imaging in the diagnosis of penile fracture. Int Braz J Urol. 2015;41(2):325–8. Small series that details what can and cannot be elucidated with MRI in the diagnosis of penile fracture. Excellent for understanding how this modality can aid in diagnosis.CrossRefPubMed
29.•
Zurück zum Zitat Yamacake KGR, Tavares A, Padovani GP, et al. Long-term treatment outcomes between surgical correction and conservative management for penile fracture: retrospective analysis. Korean J Urol. 2013;54(7):472–6. Retrospective series that suggests that conservative management of penile fracture may put patients at greater risk for subsequent penile deviation and erectile dysfunction.CrossRefPubMedPubMedCentral Yamacake KGR, Tavares A, Padovani GP, et al. Long-term treatment outcomes between surgical correction and conservative management for penile fracture: retrospective analysis. Korean J Urol. 2013;54(7):472–6. Retrospective series that suggests that conservative management of penile fracture may put patients at greater risk for subsequent penile deviation and erectile dysfunction.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Rosenstein DI, Morey AF, McAninch JW. Penile trauma. In: Graham SD, Keane TE, editors. Glenn’s urologic surgery. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. pp. 514–9. Rosenstein DI, Morey AF, McAninch JW. Penile trauma. In: Graham SD, Keane TE, editors. Glenn’s urologic surgery. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. pp. 514–9.
31.
Zurück zum Zitat Kovell RC, Wright JL, Wessells H. Urinary and genital trauma. In: Hanno PM, Guzzo TJ, Malkowicz SB, et al., authors. Penn clinical manual of urology. Philadelphia, PA: Elsevier; 2014. pp. 251–82. Kovell RC, Wright JL, Wessells H. Urinary and genital trauma. In: Hanno PM, Guzzo TJ, Malkowicz SB, et al., authors. Penn clinical manual of urology. Philadelphia, PA: Elsevier; 2014. pp. 251–82.
32.
Zurück zum Zitat Hatzichristodoulou G, Dorstewitz A, Gschwend JE, et al. Surgical management of penile fracture and long-term outcome on erectile function and voiding. J Sex Med. 2013;10:1424–30.CrossRefPubMed Hatzichristodoulou G, Dorstewitz A, Gschwend JE, et al. Surgical management of penile fracture and long-term outcome on erectile function and voiding. J Sex Med. 2013;10:1424–30.CrossRefPubMed
33.
Zurück zum Zitat Khan ZI. Management of penile fracture and its outcome. J Coll Physicians Surg Pak. 2013;23(10):802–5.PubMed Khan ZI. Management of penile fracture and its outcome. J Coll Physicians Surg Pak. 2013;23(10):802–5.PubMed
34.
Zurück zum Zitat Kurkar A, Elderwy AA, Orabi H. False fracture of the penis: different pathology but similar clinical presentation and management. Urol Ann. 2014;6(1):23–6.CrossRefPubMedPubMedCentral Kurkar A, Elderwy AA, Orabi H. False fracture of the penis: different pathology but similar clinical presentation and management. Urol Ann. 2014;6(1):23–6.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Nane I, Tefekli A, Armagan A, et al. Penile vascular abnormalities observed long-term after surgical repair of penile fractures. Int J Urol. 2004;11(5):316–20.CrossRefPubMed Nane I, Tefekli A, Armagan A, et al. Penile vascular abnormalities observed long-term after surgical repair of penile fractures. Int J Urol. 2004;11(5):316–20.CrossRefPubMed
36.
Zurück zum Zitat Penson DF, Seftel AD, Krane RJ, et al. The hemodynamic pathophysiology of impotence following blunt trauma to the erect penis. J Urol. 1992;148(4):1171–80.PubMed Penson DF, Seftel AD, Krane RJ, et al. The hemodynamic pathophysiology of impotence following blunt trauma to the erect penis. J Urol. 1992;148(4):1171–80.PubMed
37.
Zurück zum Zitat Salam MA, Alam SMM. Penile injuries. In: Salam MA, editor. Principles and practice of urology. New Dehli: JP Medical Publishers Ltd; 2013. p. 156–61. Salam MA, Alam SMM. Penile injuries. In: Salam MA, editor. Principles and practice of urology. New Dehli: JP Medical Publishers Ltd; 2013. p. 156–61.
38.
Zurück zum Zitat Wong DP, Morrison BF, Mayhew RG, et al. A delayed foreskin-sparing approach to the management of penile fractures in uncircumcised Jamaican men. Int J Surg Case Rep. 2015;17:65–8.CrossRefPubMedPubMedCentral Wong DP, Morrison BF, Mayhew RG, et al. A delayed foreskin-sparing approach to the management of penile fractures in uncircumcised Jamaican men. Int J Surg Case Rep. 2015;17:65–8.CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Fergany AF, Angermeier KW, Montague DK. Review of Cleveland Clinic experience with penile fracture. Urology. 1999;54(2):352–5.CrossRefPubMed Fergany AF, Angermeier KW, Montague DK. Review of Cleveland Clinic experience with penile fracture. Urology. 1999;54(2):352–5.CrossRefPubMed
40.
Zurück zum Zitat Rajih E, Abdullah A, Assaad E-H. Penile fracture with two ipsilateral corporal tears and delayed presentation: a case report. Can Urol Assoc J. 2015;9(9-10):741–3.CrossRef Rajih E, Abdullah A, Assaad E-H. Penile fracture with two ipsilateral corporal tears and delayed presentation: a case report. Can Urol Assoc J. 2015;9(9-10):741–3.CrossRef
Metadaten
Titel
Contemporary Management of Penile Fracture: a Urologist’s Guide
verfasst von
Fernandino Vilson
Susan MacDonald
Ryan Terlecki
Publikationsdatum
05.04.2016
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 2/2016
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-016-0069-y

Weitere Artikel der Ausgabe 2/2016

Current Sexual Health Reports 2/2016 Zur Ausgabe

Integrating the Psychosocial (B McCarthy, RT Segraves and AH Clayton, Section Editors)

African American Adolescent Sexuality: Influences on Sexual Scripting and Sexual Risk Behaviors

Preclinical and Psychophysiology (J Pfaus and L Marson, Section Editors)

Sexual Function after Spinal Cord Injury: Innervation, Assessment, and Treatment

Female Sexual Dysfunction and Disorders (L Brotto and A Bradford, Section Editors)

Women’s Sexual Desire and Desire Disorders from a Developmental Perspective

Integrating the Psychosocial (B McCarthy, RT Segraves and AH Clayton, Section Editors)

Toward a Trauma-Informed Approach to Adult Sexuality: A Largely Barren Field Awaits its Plow

Integrating the Psychosocial (B McCarthy, RT Segraves and AH Clayton, Section Editors)

Cultural Factors in the Treatment of Sexual Dysfunction in Muslim Clients

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.