Fracture of the penis

A 32-year-old man entered the admissions department with complaints of pain, swelling and curvature of the penis. During a very intense intercourse, the patient heard a clicking sound, after which he suddenly lost an erection and felt a sharp pain.On examination: edema and ecchymosis of the ventral part of the sexual color, expressed dorsal angulation (Fig. 1). Inspection of the external opening of the urethra did not reveal fresh blood; the patient denies hematuria. Given a typical medical history and physical examination data, a fracture of the penis was diagnosed. At ultrasound examination, a focal rupture of the middle wall of the right cavernous body was revealed with the formation of a hematoma and a sharp displacement of the spongy body (Figures 2 and 3).

The patient was urgently sent to the operating room to evacuate the hematoma and correct the structure of the corpus cavernosum.

Fracture of the penis is a trauma caused by a sharp bending of the trunk during sexual intercourse (most often), which leads to rupture of the gall-stone shell (tunica albuginea) and accumulation of blood from cavernous sinuses in the subcutaneous space. The clinician should first of all exclude damage to the urethra. As a rule, a fracture of the penis is diagnosed clinically and treated by surgery. In some cases, the clinical picture can be erased: the patient can complain only of pain and nothing more.US under the front desk used to confirm the diagnosis and to provide additional useful information for the surgeon, which will allow him to choose the place of the cut with minimal risk of neurovascular injury and skin necrosis. In addition, ultrasound eliminates gaps dorsal penile arteries and veins, which have a similar clinical picture.