Recurrent Penile Fracture—Case Report and Alternative Surgical Approach

Bruno Nascimento, MD; Giuliano B. Guglielmetti, MD; Eduardo P. Miranda, MD, PhD, FECSM; Renato F. Ivanovic, MD; Carlos A. Batagello, MD; William C. Nahas, MD, PhD; Miguel Srougi, MD, PhD; José Cury, MD, PhD

Sexual Medicine (Sep 2018)

Recurrent Penile Fracture—Case Report and Alternative Surgical Approach

Bruno Nascimento, MD,
Giuliano B. Guglielmetti, MD,
Eduardo P. Miranda, MD, PhD, FECSM,
Renato F. Ivanovic, MD,
Carlos A. Batagello, MD,
William C. Nahas, MD, PhD,
Miguel Srougi, MD, PhD,
José Cury, MD, PhD

Affiliations

Bruno Nascimento, MD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil; Corresponding Author: Bruno Chiesa Gouveia Nascimento, MD, Rua Harmonia n 756, ap 54, Vila Madalena, São Paulo 05435-000, SP, Brazil. Tel: 55 11 2661-8080; Fax: 55 11 2661 8081
Giuliano B. Guglielmetti, MD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil
Eduardo P. Miranda, MD, PhD, FECSM: Division of Urology, Federal University of Ceara, Fortaleza, CE, Brazil
Renato F. Ivanovic, MD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil
Carlos A. Batagello, MD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil
William C. Nahas, MD, PhD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil
Miguel Srougi, MD, PhD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil
José Cury, MD, PhD: Sexual Medicine Group, Division of Urology, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil

Journal volume & issue: Vol. 6, no. 3
pp. 263 – 266

Abstract

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Introduction: Penile refracture is an exceedingly rare event, with very few published studies. To the best of our knowledge, this is the first documented case in the literature of penile fracture with 3 same-site recurrences. Aims: To describe the case of a 25-year-old Caucasian man with recurrent penile fracture ultimately treated with resuture and patch reinforcement. Methods: Patient history (clinical and surgical) and literature review. Results: After the 3rd same-site recurrence, patch reinforcement over the sutured area was performed. The patient had an uneventful recovery and no recurrences to date. Conclusion: There is no evidence indicating the superiority of non-absorbable sutures. Bovine pericardium reinforcement over the sutured area was used to minimize the chance of another recurrence. More studies are necessary to investigate its safety and efficacy in this scenario.Nascimento B, Guglielmetti GB, Miranda EP, et al. Recurrent Penile Fracture—Case Report and Alternative Surgical Approach. Sex Med 2018;6:263–266. Key Words: Penile Fracture, Recurrent Penile Fracture, Penis, Surgical Intervention, Genitourinary Trauma

Published in Sexual Medicine

ISSN: 2050-1161 (Online)
Publisher: Oxford University Press
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://academic.oup.com/smoa

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