Fractured Penis: Diagnosis and Management (CME)
Tariq F. Al-Shaiji MB ChB, FRCSC,
Justin Amann MD, FRCSC,
Gerald B. Brock MD, FRCSC,
Corresponding Author
Tariq F. Al-Shaiji MB ChB, FRCSC
Department of Surgery, Division of Urology, University of Western Ontario, London, Ontario, Canada;
Tariq F. Al-Shaiji, MB ChB, FRCSC, Division of Urology, Department of Surgery, University of Western Ontario, 268 Grosvenor St., London ON N6A 4V2. Tel: 519-646-6042; Fax: 519-646-6037; E-mail: [email protected]Search for more papers by this authorJustin Amann MD, FRCSC
Department of Diagnostic Radiology, University of Western Ontario, London, Ontario, Canada
Search for more papers by this authorGerald B. Brock MD, FRCSC
Department of Surgery, Division of Urology, University of Western Ontario, London, Ontario, Canada;
Search for more papers by this authorTariq F. Al-Shaiji MB ChB, FRCSC,
Justin Amann MD, FRCSC,
Gerald B. Brock MD, FRCSC,
Corresponding Author
Tariq F. Al-Shaiji MB ChB, FRCSC
Department of Surgery, Division of Urology, University of Western Ontario, London, Ontario, Canada;
Tariq F. Al-Shaiji, MB ChB, FRCSC, Division of Urology, Department of Surgery, University of Western Ontario, 268 Grosvenor St., London ON N6A 4V2. Tel: 519-646-6042; Fax: 519-646-6037; E-mail: [email protected]Search for more papers by this authorJustin Amann MD, FRCSC
Department of Diagnostic Radiology, University of Western Ontario, London, Ontario, Canada
Search for more papers by this authorGerald B. Brock MD, FRCSC
Department of Surgery, Division of Urology, University of Western Ontario, London, Ontario, Canada;
Search for more papers by this authorABSTRACT
Introduction. Penile fracture is a well-recognized clinical entity. It is relatively uncommon and is considered a urological emergency. Its management has been a subject of controversy.
Aim. In this article, we will review contemporary knowledge of the epidemiology, pathophysiology, evaluation, and evolving management strategies of penile fracture.
Methods. A case report was discussed followed by an English-language Medline review.
Main Outcome Measure. Review of the available literature to establish best-practice management.
Results. The injury is defined as the traumatic rupture of the corpus cavernosum secondary to a blunt trauma of the erect penis. The condition is underreported. The commonest causes were coital injuries and penile manipulation. The diagnosis was usually fairly straightforward because of the stereotypical clinical presentation. Associated injuries included urethral rupture. Imaging was helpful in selected cases. Conservative measures were associated with increased complications. Most authors advocated early surgical repair. False explorations have been reported.
Conclusions. Penile fracture is a clinical diagnosis. The ideal management has evolved and remains largely surgical. Preoperative imaging should not delay surgical repair. Al-Shaiji TF, Amann J, and Brock GB. Fractured penis: Diagnosis and management. J Sex Med 2009;6:3231–3240.
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