F1000Research (Aug 2019)

Case Report: Double penile fracture [version 2; peer review: 2 approved]

  • Felipe Mercado-Olivares,
  • J. Antonio Grandez-Urbina,
  • Giomar Farfan-Daza,
  • Juan Pacheco-Sauñe,
  • Luciano Nuñez-Bragayrac

DOI
https://doi.org/10.12688/f1000research.16452.2
Journal volume & issue
Vol. 7

Abstract

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Penile fracture is an underreported surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture of both masses is an uncommon finding. We report a case of a young male who presented to the emergency department two hours after sustaining penile trauma. Prompt surgical exploration was performed four hours post-injury. He was found to have one fracture on each corpora cavernosa, without urethral injury, which were repaired successfully. The patient had a favorable recovery and was discharged on the third postoperative day without complications. The aim of this report is to highlight the importance of complete degloving of the penile shaft for a meticulous search during surgery to avoid missed injuries. This approach will ensure a successful outcome avoiding physical and psychological disabilities.