|Penile trauma, Corpora cavernosa rupture|
How does a penile fracture happen?
Penile fracture occurs as a result of direct trauma, while the penis is erect during vigorous intercourse. Normally it occurs when the couple is on the member or in masturbation.
There is a rupture of the tunica albuginea (connective tissue or fibrous sheath on the penis) and a cracking noise is often heard. Extravasation (filtration) of the blood occurs to the bodily bodies.
How to know if I have a fractured penis?
- History of trauma during intercourse or masturbation
- Magnetic resonance
- Ecografía del pene
Penile fracture symptoms
|Detumescence during intercourse.|
|The corpus cavernosum defect can occasionally be palpated.|
|Delimited hematoma at the base of the penis (eggplant sign).|
|If Buck’s fascia (deep layer that covers the erectile bodies of the penis) is ruptured, the hematoma may extend into the lower abdominal wall.|
How treat penile fracture?
- Conservative treatment (observation) is not recommended since the hematoma can originate and as a result leave a fibrous plaque in the corpus cavernosum and cause erectile dysfunction
Medical procedure for penile fracture
Penile exploration: It is used to drain the hematoma, localize the injury and repair it in the corpus cavernosum. Preoperative flexible ureteroscopy: If ureteral injury is suspected.
Aboumarzouk, O. M. (2019). Blandy’s Urology (3.a ed.). Wiley.