Title: Successful Surgery of Penile Fracture with Severely Ruptured Tunica Albuginea During Sexual Intercourse: A Case Report
Abstract: Penile fracture is a physiologically rare but clinically critical condition and requires earliest-cum-emergency urosurgical attention. Distinctive to the classic fracture, it is the traumatic tear and/or rupture of corpora cavernosa and tunica albuginea with or without disruptive injury to corpus spongiosum and urethra; a coordinating complex responsible for penile erection. However, severity, circumferences and extent of critical injury in penile fracture need to be examined and clinically confirmed on case by case basis. We, hereby, report a case of 38-year-old man who presented with acute penile pain, swelling, distortion of penis and sudden inability to sustain penile erection during normal coitus. Upon immediate urosurgical attention, we observed severely ruptured tunica albuginea and disrupted corpus cavernosum mediated penile fracture, which was adequately repaired by surgical management. In follow up the patient restored with physiological and void functions and regaining normal erectile function. In view of clinically critical and underreporting of cases, it is suggestive that prompt urosurgical intervention can preserve the psychological, urophysiological and reproductive functions to lead routine life with restored functions.
Publication Year: 2019
Publication Date: 2019-01-01
Language: en
Type: article
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