Imran Muhammad, Kamran Ateeba, Tanveer Aiman, Farho Mohamad Ali
University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan.
Karachi Medical and Dental College, Karachi, Pakistan.
Int J Surg Case Rep. 2023 Sep;110:108749. doi: 10.1016/j.ijscr.2023.108749. Epub 2023 Sep 1.
Penile fracture, resulting from trauma to an erect penis, is a rare urogenital injury with potentially serious complications including erectile dysfunction. This case report emphasizes the significance of prompt recognition, accurate diagnosis, and timely surgical management to optimize patient outcomes.
The case involves a 34-year-old male presenting with acute pain, swelling, and a visibly deformed penis following sexual intercourse. Clinical examination confirmed the diagnosis of penile fracture, leading to surgical repair of the tunica albuginea. The patient had an uneventful post-operative recovery and received appropriate post-operative instructions.
A penile fracture is a rare but serious injury occurs due to a tear in the tunica albuginea that can occur during vigorous sexual activity causing sudden pain, swelling, and produce a popping sound. Classical presentation often leads to establish a clinical diagnosis. However, immediate surgical exploration and repair is needed for better outcomes and to prevent long term complications such as erectile dysfunction or curvature of the penis that are associated with relying solely on conservative management. Delayed presentation also affects the optimal outcomes of surgery.
This report highlights the importance of early surgical intervention, the impact of delayed presentation, and the need for increased awareness regarding penile fractures. This case adds to the existing surgical literature by providing insights into the clinical presentation and management of penile fractures. The comprehensive overview of the case contributes to a better understanding of penile fractures and their management, helping healthcare professionals, improves patient care and outcomes.
阴茎骨折是由勃起阴茎受到创伤引起的一种罕见的泌尿生殖系统损伤，可能会导致包括勃起功能障碍在内的严重并发症。本病例报告强调了迅速识别、准确诊断和及时手术治疗对于优化患者预后的重要性。
该病例为一名34岁男性，在性交后出现急性疼痛、肿胀且阴茎明显变形。临床检查确诊为阴茎骨折，随后进行了白膜的手术修复。患者术后恢复顺利，并接受了适当的术后指导。
阴茎骨折是一种罕见但严重的损伤，由于白膜撕裂所致，可发生于剧烈性活动期间，导致突然疼痛、肿胀，并产生爆裂声。典型表现通常可确立临床诊断。然而，为了获得更好的预后并预防诸如勃起功能障碍或阴茎弯曲等长期并发症（这些并发症与单纯依靠保守治疗有关），需要立即进行手术探查和修复。延迟就诊也会影响手术的最佳效果。
本报告强调了早期手术干预的重要性、延迟就诊的影响以及提高对阴茎骨折认识的必要性。该病例通过提供阴茎骨折临床表现和治疗方面的见解，丰富了现有的外科文献。对该病例的全面概述有助于更好地理解阴茎骨折及其治疗，帮助医护人员改善患者护理和预后。
