Diferencia entre revisiones de «Penile fracture»

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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]]

Revisión del 04:09 21 mar 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