Mercado-Olivares Felipe, Grandez-Urbina J Antonio, Farfan-Daza Giomar, Pacheco-Sauñe Juan, Nuñez-Bragayrac Luciano
Department of Medicine, Universidad San Martin de Porres, Lima, Peru.
Department of Urology, Clinica de Urologia Avanzada UROZEN, Lima, 15021, Peru.
F1000Res. 2018 Nov 21;7:1828. doi: 10.12688/f1000research.16452.2. eCollection 2018.
Penile fracture is an underreported surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture of both masses is an uncommon finding. We report a case of a young male who presented to the emergency department two hours after sustaining penile trauma. Prompt surgical exploration was performed four hours post-injury. He was found to have one fracture on each corpora cavernosa, without urethral injury, which were repaired successfully. The patient had a favorable recovery and was discharged on the third postoperative day without complications. The aim of this report is to highlight the importance of complete degloving of the penile shaft for a meticulous search during surgery to avoid missed injuries. This approach will ensure a successful outcome avoiding physical and psychological disabilities.
阴茎骨折是一种报告不足的外科急症。它通常表现为两个海绵体之一的白膜单次破裂;两个海绵体均破裂的情况并不常见。我们报告一例年轻男性病例,该患者在遭受阴茎创伤两小时后就诊于急诊科。受伤后四小时进行了及时的手术探查。发现他每个海绵体都有一处骨折,无尿道损伤,骨折均成功修复。患者恢复良好,术后第三天出院,无并发症。本报告的目的是强调在手术过程中对阴茎体进行完全脱套以便仔细探查以避免漏诊损伤的重要性。这种方法将确保获得成功的结果,避免身体和心理残疾。