Fukagawa Eri, Sano Masayuki, Shimbo Masaki, Endo Fumiyasu, Hattori Kazunori
Department of Urology St. Luke's International Hospital Chuo-ku Tokyo Japan.
IJU Case Rep. 2025 Feb 10;8(3):198-201. doi: 10.1002/iju5.70004. eCollection 2025 May.
Penile fractures typically do not occur in patients unable to maintain an adequate erection. Erectile dysfunction is known as one of the major complications of radical prostatectomy, and no cases of postoperative penile fractures have been reported.
A 78-year-old male with a history of radical prostatectomy with bilateral nerve-sparing for prostate cancer 12 years ago presented with a penile injury sustained during erection. Clinical examination showed subcutaneous hemorrhage and swelling throughout the penis, and magnetic resonance imaging showed discontinuity of the tunica albuginea. Emergent repair identified and corrected a laceration on the right lateral corpus cavernosum. He reported no complications and could maintain an erection after the surgery.
This is the first reported case of penile fracture following radical prostatectomy, as well as the eldest case of penile fracture to date.
阴茎骨折通常不会发生在无法维持充分勃起的患者身上。勃起功能障碍是根治性前列腺切除术的主要并发症之一，目前尚无术后阴茎骨折的病例报道。
一名78岁男性，12年前因前列腺癌接受了保留双侧神经的根治性前列腺切除术，现因勃起时阴茎受伤前来就诊。临床检查发现阴茎全程皮下出血和肿胀，磁共振成像显示白膜连续性中断。急诊手术发现并修复了右侧海绵体的一处撕裂伤。他术后未出现并发症，且能维持勃起功能。
这是首例报道的根治性前列腺切除术后阴茎骨折病例，也是迄今为止年龄最大的阴茎骨折病例。
