Penile fracture: Difference between revisions
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==Overview== | ==Overview== | ||
A | A penile fracture is an injury caused by the rupture of the [[Tunica albuginea (penis)|tunica albuginea]], which envelopes the [[corpus cavernosum penis]]. It is an uncommon [[injury]], most often caused by a [[blunt trauma]] to an erect [[penis]]. A popping or cracking sound, significant pain, immediate [[tumescence|detumescence]], and skin [[hematoma]] of various sizes are commonly associated with the event. Penile fracture is generally considered a [[medical emergency]], and emergency medical [[surgery|surgical]] repair is the usual treatment. Delay in seeking treatment increases the complication rate. Non-surgical approaches result in 10%-50% complication rates including [[erectile dysfunction]], permanent penile curvature, damage to the [[urethra]], and pain during [[sexual intercourse]]. | ||
In the western hemisphere the most common cause, accounting for about 30%-50% of cases, is intercourse. Of those, woman-on-top positions resulting in impact against the female [[pelvis]] or [[perineum]] and bending laterally are most common. In Middle Eastern countries the common cause is physical manipulation of the penis to remove an [[erection]]<ref>Eke N. Fracture of the penis. Br J Surg 2002;89:555–65. PMID 11972544</ref> <ref>Zargooshi J. Penile fracture in Kermanshah, Iran: the long-term results of surgical treatment. BJU Int 2002 Jun;89(9):890-4. PMID 12010234</ref> | In the western hemisphere the most common cause, accounting for about 30%-50% of cases, is intercourse. Of those, woman-on-top positions resulting in impact against the female [[pelvis]] or [[perineum]] and bending laterally are most common. In Middle Eastern countries the common cause is physical manipulation of the penis to remove an [[erection]].<ref>Eke N. Fracture of the penis. Br J Surg 2002;89:555–65. PMID 11972544</ref> <ref>Zargooshi J. Penile fracture in Kermanshah, Iran: the long-term results of surgical treatment. BJU Int 2002 Jun;89(9):890-4. PMID 12010234</ref> | ||
== References == | == References == | ||
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[[Category:Andrology]] | [[Category:Andrology]] | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[de:Penisfraktur]] | [[de:Penisfraktur]] | ||
[[he:שבר הפין]] | [[he:שבר הפין]] | ||
Latest revision as of 20:24, 22 February 2013
Template:Search infobox Steven C. Campbell, M.D., Ph.D.
Overview
A penile fracture is an injury caused by the rupture of the tunica albuginea, which envelopes the corpus cavernosum penis. It is an uncommon injury, most often caused by a blunt trauma to an erect penis. A popping or cracking sound, significant pain, immediate detumescence, and skin hematoma of various sizes are commonly associated with the event. Penile fracture is generally considered a medical emergency, and emergency medical surgical repair is the usual treatment. Delay in seeking treatment increases the complication rate. Non-surgical approaches result in 10%-50% complication rates including erectile dysfunction, permanent penile curvature, damage to the urethra, and pain during sexual intercourse.
In the western hemisphere the most common cause, accounting for about 30%-50% of cases, is intercourse. Of those, woman-on-top positions resulting in impact against the female pelvis or perineum and bending laterally are most common. In Middle Eastern countries the common cause is physical manipulation of the penis to remove an erection.[1] [2]
References
de:Penisfraktur
he:שבר הפין
it:Frattura del pene
si:Zlom penisa