Driscoll Conor B, Handa Nicole, Greenberg Daniel R, Lee Ziho
Department of Urology, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Arkes 23, Chicago, IL 60611, USA.
Can J Urol. 2025 Aug 29;32(4):345-348. doi: 10.32604/cju.2025.063323.
Penile fracture is a rare clinical entity that occurs secondary to direct trauma to an erect penis, most commonly during sexual intercourse. Specifically, increased pressure within the corpus cavernosa results in rupture of the tunica albuginea. Occasionally, these injuries extend to the urethra and very rarely cause a complete urethral avulsion. Emergent exploration improves post-traumatic erectile function, penile curvature, and prevents painful erections. The traditional approach is a subcoronal circumcising incision to allow for adequate visualization. We present an uncircumcised male with bilateral corporal injuries and complete urethral avulsion who underwent a ventral midline approach for successful foreskin preservation.
阴茎骨折是一种罕见的临床病症，继发于勃起阴茎的直接创伤，最常见于性交过程中。具体而言，海绵体内压力增加导致白膜破裂。偶尔，这些损伤会延伸至尿道，极少会导致完全性尿道撕脱。急诊探查可改善创伤后的勃起功能、阴茎弯曲情况，并预防疼痛性勃起。传统方法是冠状沟下环切切口，以便充分暴露视野。我们报告一例未行包皮环切术的男性，双侧海绵体损伤并完全性尿道撕脱，采用腹侧中线入路成功保留了包皮。
