Penile fracture

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