Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ann R Coll Surg Engl. 2021 Mar;103(3):e88-e90. doi: 10.1308/rcsann.2020.7042.
Penile fracture is a rare urological emergency caused by blunt trauma to the erect penis. It occurs due to the forcible bending of the turgid erect penis against resistance leading to tunica albuginea tear. The rupture of tunica albuginea surrounding the corpora cavernosa leads to hematoma formation and classical 'aubergine' deformity. Timely intervention is essential to improve sexual function. Urethral injury may occur concomitantly in case of severe trauma. Blood at the meatus, inability to void and haematuria are distinctive features. We describe a case of 36-year-old man who presented to the emergency department with penile fracture during sexual intercourse associated with blood at the meatus and voiding difficulty. On surgical exploration, complete bilateral corpora cavernosa tear and penile urethral transection was noted. The patient was successfully managed with timely repair. This case highlights the need for suspicion of an associated urethral injury in patients of penile fracture with blood at the meatus.
阴茎骨折是一种罕见的泌尿外科急症，由勃起阴茎受到钝性创伤引起。它是由于勃起的阴茎在抵抗下强行弯曲，导致白膜撕裂。围绕海绵体的白膜破裂导致血肿形成和典型的“茄子”样畸形。及时干预对于改善性功能至关重要。严重创伤时可能同时发生尿道损伤。尿道口有血、无法排尿和血尿是其特征性表现。我们描述了一例 36 岁男性患者，在性交时出现阴茎骨折，伴有尿道口出血和排尿困难，就诊于急诊科。手术探查时发现双侧海绵体完全撕裂和阴茎尿道断裂。患者及时接受了修复治疗，成功治愈。该病例强调了对于尿道口有血的阴茎骨折患者，需要怀疑是否合并尿道损伤。
