Bello Jibril Oyekunle
Urology unit, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
J Med Case Rep. 2012 Sep 25;6:321. doi: 10.1186/1752-1947-6-321.
Penile fracture is an uncommon urologic emergency, and is the traumatic rupture of the tunica albuginea covering the corpus cavernosa. This usually occurs following blunt trauma sustained during coitus, masturbation or self-manipulations to hide or suppress an erection. Clinical diagnosis can often be easily made with typical history and examination findings. However, the patient may present atypically and/or with a suspicion of associated urethral injury. The roles of various diagnostic investigations are being evaluated in these situations.
We report the case of a 31-year-old African man with penile fracture and suspected associated urethral injury that occurred after self-manipulations to hide an erection.
Penile ultrasound and sonourethrography provide useful additional diagnostic information to supplement clinical history and physical examination findings and can be performed easily, at low cost and with no delays to surgery.
阴茎骨折是一种罕见的泌尿外科急症，是覆盖海绵体的白膜发生创伤性破裂。这通常发生在性交、手淫或自我手法操作以隐藏或抑制勃起过程中遭受钝性创伤之后。根据典型的病史和检查结果，临床诊断通常很容易做出。然而，患者可能表现不典型和/或怀疑有相关尿道损伤。在这些情况下，正在评估各种诊断检查的作用。
我们报告一例31岁非洲男性阴茎骨折并怀疑有相关尿道损伤的病例，该损伤发生在自我手法操作以隐藏勃起之后。
阴茎超声和超声尿道造影可提供有用的额外诊断信息，以补充临床病史和体格检查结果，并且操作简便、成本低且不会延误手术。
