Penile fracture - Revision history

Rossdonaldson1: /* Background */

2023-03-29T18:22:18Z

Background

← Revisión anterior		Revisión del 18:22 29 mar 2023
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	==Background==		==Background==
			[[File:Sobo 1909 571.png\|thumb\|Penis anatomy]]
			[[File:Gray1142.png\|thumb\|The human male urethra laid open on its anterior (upper) surface.]]
			[[File:Gray1155.png\|thumb\|Transverse section of the penis.]]
	*Tunica albuginea of one or both corpora cavernosa ruptures due to trauma to erect penis		*Tunica albuginea of one or both corpora cavernosa ruptures due to trauma to erect penis
	*Can be associated with urethral rupture and deep dorsal vein injury		*Can be associated with urethral rupture and deep dorsal vein injury

Spenceemmett: /* Background */

2021-10-30T14:15:35Z

Background

← Revisión anterior		Revisión del 14:15 30 oct 2021
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	==Background==		==Background==
	*Tunica albuginea of one or both ~~corpus~~ cavernosa ruptures due to trauma to erect penis		*Tunica albuginea of one or both corpora cavernosa ruptures due to trauma to erect penis
	*Can be associated with urethral rupture and deep dorsal vein injury		*Can be associated with urethral rupture and deep dorsal vein injury
	*Unlikely to occur in blunt pelvic trauma with a flaccid penis		*Unlikely to occur in blunt pelvic trauma with a flaccid penis

Jonrako: /* Clinical Features */

2021-07-26T19:00:33Z

Clinical Features

← Revisión anterior		Revisión del 19:00 26 jul 2021
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	*Typically occurs during intercourse with receptive partner on top		*Typically occurs during intercourse with receptive partner on top
	*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity		*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity
	[[File:Penile Fracture.~~JPG~~\|thumb]]		[[File:Penile Fracture.jpg\|thumb]]

	==Differential Diagnosis==		==Differential Diagnosis==

Jonrako: /* Clinical Features */

2021-07-26T18:58:03Z

Clinical Features

← Revisión anterior		Revisión del 18:58 26 jul 2021
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	*Typically occurs during intercourse with receptive partner on top		*Typically occurs during intercourse with receptive partner on top
	*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity		*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity
	File:Penile Fracture.~~jpg~~\|~~[Penile Fracture~~]		[[File:Penile Fracture.JPG\|thumb]]

	==Differential Diagnosis==		==Differential Diagnosis==

Jonrako: /* Clinical Features */

2021-07-26T18:47:26Z

Clinical Features

← Revisión anterior		Revisión del 18:47 26 jul 2021
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	*Typically occurs during intercourse with receptive partner on top		*Typically occurs during intercourse with receptive partner on top
	*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity		*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity
			File:Penile Fracture.jpg\|[Penile Fracture]

	==Differential Diagnosis==		==Differential Diagnosis==

Shihabali: /* Disposition */

2019-11-27T14:20:51Z

Disposition

← Revisión anterior		Revisión del 14:20 27 nov 2019
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	==Disposition==		==Disposition==
	*Admit		*Admit, usually to OR for operative repair

	==See Also==		==See Also==

Shihabali: /* Management */

2019-11-27T14:20:27Z

Management

← Revisión anterior		Revisión del 14:20 27 nov 2019
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	==Management==		==Management==
	*Surgical exploration/~~repaire~~ required for most injuries if there is obvious or suspected fracture		*Surgical exploration/repair required for most injuries if there is obvious or suspected fracture
	*Penile hematoma with no fracture can be treated as an outpatient with NSAIDs		*Penile hematoma with no fracture can be treated as an outpatient with NSAIDs
	*Penile laceration with no fracture can be closed with 4-0 or 5-0 absorbable sutures		*Penile laceration with no fracture can be closed with 4-0 or 5-0 absorbable sutures

Shihabali: /* Evaluation */

2019-11-27T14:19:43Z

Evaluation

← Revisión anterior		Revisión del 14:19 27 nov 2019
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
			*Rule out other trauma
			*Do NOT pass foley until confirming patient can pass urine OR
	*Retrograde urethrogram may be necessary to assure urethral integrity (especially important if pt unable to urinate)		*Retrograde urethrogram may be necessary to assure urethral integrity (especially important if pt unable to urinate)
	*Urology may request corpus cavernosography, MRI, or ultrasound if the penile fracture is atypical<ref>Lee S. et al. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 2008 Jan;101(2):211-5</ref>		*Urology may request corpus cavernosography, MRI, or ultrasound if the penile fracture is atypical<ref>Lee S. et al. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 2008 Jan;101(2):211-5</ref>

Shihabali: /* Clinical Features */

2019-11-27T14:17:31Z

Clinical Features

← Revisión anterior		Revisión del 14:17 27 nov 2019
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	==Clinical Features==		==Clinical Features==
	*Penis is swollen, discolored, tender, and flaccid		*Penis is circumstantially swollen, discolored, tender, and flaccid
	*Cracking sound followed by pain, detumescence, swelling, discoloration, deformity		*Typically occurs during intercourse with receptive partner on top
			*Cracking sound followed by pain, usually immediate detumescence, swelling, discoloration, deformity

	==Differential Diagnosis==		==Differential Diagnosis==

Mholtz at 05:50, 6 February 2017

2017-02-06T05:50:57Z

← Revisión anterior		Revisión del 05:50 6 feb 2017
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	==Evaluation==		==Evaluation==
	*Retrograde urethrogram may be necessary to assure urethral integrity		*Clinical diagnosis
	**Especially important if ~~patient~~ unable to urinate		*Retrograde urethrogram may be necessary to assure urethral integrity (especially important if pt unable to urinate)
	*Urology may request corpus cavernosography, MRI, or ultrasound if the penile fracture is atypical<ref>Lee S. et al. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 2008 Jan;101(2):211-5</ref>		*Urology may request corpus cavernosography, MRI, or ultrasound if the penile fracture is atypical<ref>Lee S. et al. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 2008 Jan;101(2):211-5</ref>

	==Management==		==Management==
	*Surgical exploration required for most injuries if there is obvious or suspected fracture		*Surgical exploration/repaire required for most injuries if there is obvious or suspected fracture
	**Hematoma evacuation and suture apposition of the disrupted tunica albuginea		*Penile hematoma with no fracture can be treated as an outpatient with NSAIDs
	*Penile ~~Hematomas~~ with no fracture can be treated ~~with NSAIDs~~ as an outpatient		*Penile laceration with no fracture can be closed with 4-0 or 5-0 absorbable sutures
	*~~Lacerations without fractures~~ can be closed with 5-0 or 4-0 absorbable sutures

	==Disposition==		==Disposition==
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	==See Also==		==See Also==
	*[[Penile ~~Trauma~~]]		*[[Penile trauma]]

	==References==		==References==