Bhardwaj Raghubir, Gaurav Gyvi, Alam Shahnawaz
Department of Urology, Tata Main Hospital, Jamshedpur, Jharkhand, India.
J Family Med Prim Care. 2020 Nov 30;9(11):5790-5792. doi: 10.4103/jfmpc.jfmpc_1160_20. eCollection 2020 Nov.
Penile fracture is a well-recognized but uncommon urological emergency. It is a tear in the tunica albuginea with rupture of corpus cavernosum. It may be associated with injury to corpus spongiosum and urethra. Diagnosis is usually clinical and Urethral injury should be suspected in penile fracture, especially in those cases with urethral bleeding and bilateral cavernosal rupture. Penile fracture is most commonly caused by injury during sexual intercourse. It has also been described with masturbation, rolling over or falling onto the erect penis, and other scenarios. A cracking or popping sound followed by pain, rapid detumescence, discoloration and swelling of penile shaft and urethral bleeding are common presenting symptoms. Prompt surgical intervention with closure of tunica albuginea is the treatment of choice with satisfactory cosmetic and functional results. We report a case of fracture penis in a 25-year-old male who came to emergency department of our hospital.
阴茎骨折是一种已被充分认识但并不常见的泌尿外科急症。它是白膜撕裂伴海绵体破裂，可能伴有尿道海绵体和尿道损伤。诊断通常依靠临床症状，阴茎骨折时应怀疑尿道损伤，尤其是那些伴有尿道出血和双侧海绵体破裂的病例。阴茎骨折最常见的原因是性交过程中的损伤，也有因自慰、翻身压到勃起的阴茎或其他情况导致的报道。常见的症状包括骨折时出现的爆裂声，随后出现疼痛、阴茎迅速消肿、变色、肿胀以及尿道出血。及时进行白膜闭合的手术干预是首选治疗方法，可取得满意的外观和功能效果。我们报告一例25岁男性阴茎骨折患者，该患者前来我院急诊科就诊。
