Department of Urology, University of South Florida Tampa, FL, USA.
Division of Andrology, USF Urology Tampa, FL, USA.
Sex Med. 2014 Dec;2(4):182-5. doi: 10.1002/sm2.47.
Conditions mimicking penile fracture are extremely rare and have been seldom described.
To describe a patient with false penile fracture who presented with superficial dorsal vein injury/thrombosis managed with ligation.
A 33-year-old male presented with penile swelling and ecchymosis after intercourse. A penile ultrasound demonstrated a thrombosed superficial dorsal vein but also questionable fracture of the tunica albuginea. As the thrombus was expanding, he was emergently taken to the operating room for exploration and required only dorsal venous ligation.
Postoperatively, patient's Sexual Health Inventory for Men score was 23, and he had no issues with erections or sexual intercourse.
Early exploration of patients with suspected penile fracture provides excellent results with maintenance of erectile function. Also, in the setting of dorsal vein thrombosis, ligation preserves the integrity of the penile tissues and avoids unnecessary complications from conservative management. Rafiei A, Hakky TS, Martinez D, Parker J, and Carrion R. Superficial dorsal vein injury/thrombosis presenting as false penile fracture requiring dorsal venous ligation.
模仿阴茎骨折的情况极为罕见，且鲜有报道。
描述一位因阴茎浅表背静脉损伤/血栓形成而接受结扎治疗的假性阴茎骨折患者。
一名 33 岁男性在性交后出现阴茎肿胀和瘀斑。阴茎超声显示浅表背静脉血栓形成，但也疑似白膜破裂。由于血栓在扩大，他紧急被送往手术室进行探查，仅需要进行背侧静脉结扎。
术后，患者的男性健康问卷评分（Sexual Health Inventory for Men score）为 23 分，勃起和性生活均无问题。
对疑似阴茎骨折的患者进行早期探查可获得极佳的效果，同时保留勃起功能。此外，在阴茎背侧静脉血栓形成的情况下，结扎可保持阴茎组织的完整性，并避免保守治疗引起的不必要并发症。Rafiei A、Hakky TS、Martinez D、Parker J 和 Carrion R. 表现为假性阴茎骨折的阴茎浅表背静脉损伤/血栓形成，需要进行背侧静脉结扎。
