Penile fracture: Difference between revisions
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*Penis is swollen, discolored, tender, and flaccid | *Penis is swollen, discolored, tender, and flaccid | ||
*Cracking sound followed by pain, detumescence, swelling, discoloration, deformity | *Cracking sound followed by pain, detumescence, swelling, discoloration, deformity | ||
==Differential Diagnosis== | |||
{{Template:Penile Trauma DDX}} | |||
==Work-Up== | ==Work-Up== | ||
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==Disposition== | ==Disposition== | ||
Admit | Admit | ||
==See Also== | |||
*[[Penile Trauma]] | |||
==Source== | ==Source== | ||
Revision as of 04:10, 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
Differential Diagnosis
Penile trauma types
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
See Also
Source
Tintinalli