Makama Baje Salihu, Haruna Liman, Stephen Yusuf, Aminu Umar
Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Bauchi State, Nigeria.
J West Afr Coll Surg. 2021 Apr-Jun;11(2):31-34. doi: 10.4103/jwas.jwas_18_22. Epub 2022 Jul 12.
Penile fracture is a rare traumatic injury of an erect phallus involving mainly the tissues responsible for penile erection, corpora cavernosa, and penile sheath, which occur commonly, but not solely during vigorous sexual intercourse. Here, we present a 34-year-old man who presented with a 5-h history of snapping sound heard during sexual intercourse with subsequent loss of tumescence, swelling of the phallus, and assumption of abnormal contour, scrotal swelling, and lower anterior abdominal swelling. On examination, the patient was in severe painful distress with swelling around the external genitalia and lower abdomen and dorsolateral penile angulation with marked tenderness. The diagnosis of penile fracture was made; intraoperatively, there was a complete rupture of both corpora cavernosa and corpus spongiosum, complete disruption of the urethra, and buck's fascia tear causing haematoma and urine extravasation into the scrotum and anterior abdominal wall. The patient had haematoma evacuation, corpora repair, and urethroplasty done, did well, and has been on follow-up for 2 years with good erectile and voiding functions.
阴茎骨折是一种罕见的勃起阴茎创伤性损伤，主要累及负责阴茎勃起的组织、海绵体和阴茎白膜，这种损伤通常但并非仅发生在剧烈性交过程中。在此，我们报告一名34岁男性，他在性交时听到啪的一声，随后阴茎勃起消失、肿胀、外形异常，阴囊及下腹部前侧肿胀，病程5小时。检查时，患者因外生殖器及下腹部肿胀而极度疼痛，阴茎背外侧成角并有明显压痛。诊断为阴茎骨折；术中发现双侧海绵体及尿道海绵体完全断裂，尿道完全中断，白膜撕裂导致血肿形成及尿液外渗至阴囊和前腹壁。患者接受了血肿清除、海绵体修复及尿道成形术，恢复良好，已随访2年，勃起及排尿功能良好。
