Anastasiou Ioannis, Anastasiou Aikaterini, Katafigiotis Ioannis, Tsavdaris Dimitrios, Constantinides Constantinos
1st Urology Department, Laiko Hospital, University of Athens, Athens.
Arch Ital Urol Androl. 2019 Jan 17;90(4):295-296. doi: 10.4081/aiua.2018.4.295.
Penile fractures are generally rare and underreported. The mechanism of injury is due to a rupture of the corpora cavernosa following blunt or sexual trauma to the penis when fully erect. Penile fractures usually present with a 'popping' sound with concomitant sudden swelling and ecchymosis of the penis followed by rapid detumescence. Urethral involvement occurs only in a small part of the cases. Isolated spongiosal injury after sexual intercourse is also extremely rare. The cardinal sign of urethral injury is blood at the meatus. A small laceration can be repaired by simple closure with absorbable sutures, while a complete rupture requires a more complex anastomotic repair. We report a case of a typically presenting penile fracture that was eventually proven to be an isolated corpus spongiosum injury, with no corpora cavernosa involvement.
阴茎骨折通常很少见且报道不足。损伤机制是阴茎完全勃起时受到钝性或性创伤后海绵体破裂。阴茎骨折通常表现为“啪”的一声，同时阴茎突然肿胀和瘀斑，随后迅速消肿。仅在一小部分病例中会出现尿道受累情况。性交后孤立的海绵体损伤也极为罕见。尿道损伤的主要体征是尿道口有血。小的撕裂伤可通过用可吸收缝线简单缝合来修复，而完全断裂则需要更复杂的吻合修复。我们报告一例典型表现的阴茎骨折病例，最终被证实为孤立的海绵体损伤，无海绵体受累。
