Penile fracture

Revision as of 03:13, 22 September 2011 by Russellm77 (talk | contribs) (→‎Work-Up)

Background

  • Tunica albuginea of one or both corpus cavernosa ruptures due to trauma to erect penis
  • Can be a/w urethral rupture and deep dorsal vein injury

Clinical Features

  • Penis is swollen, discolored, tender, and flaccid

Work-Up

  • Retrograde urethrogram may be necessary to assure urethral integrity
    • Especially important if patient unable to urinate

Treatment

  • Surgery
    • Hematoma evacuation and suture apposition of the disrupted tunica albuginea

Disposition

Admit

Source

Tintinalli