Penile fracture
Revision as of 04:10, 21 March 2014 by Rossdonaldson1 (talk | contribs)
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