Penile fracture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Penis is swollen, discolored, tender, and flaccid | *Penis is swollen, discolored, tender, and flaccid | ||
*Cracking sound followed by pain, detumescence, swelling, discoloration, deformity | |||
==Work-Up== | ==Work-Up== | ||
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[[Category:GU]] | [[Category:GU]] | ||
[[Category:Trauma]] | |||
Revision as of 04:09, 21 March 2014
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
- Cracking sound followed by pain, detumescence, swelling, discoloration, deformity
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