Penile fracture Flashcards
1
Q
What is a penile fracture?
A
Traumatic rupture of the corpus cavernosa + tunica albuginea in an erect penis
2
Q
What can cause a penile fracture?
A
Blunt trauma - where penis is violently deviated away from its axis - when erect
- this can be from sexual intercourse
3
Q
How does a penile fracture present?
A
Popping sensation with immediate pain and swelling Firm immobile haematoma may be palpated Discolouration - secondary to haematoma Deviation to one side “Aubergine appearance”
4
Q
How is a penile fracture managed?
A
Analgesia
Anti-emetics
Surgery
- circumferential incision - penile skin degloved - removal of haematoma. The repair the tear
Abstinence from sexual activity for 6-8 wks post surgery
5
Q
What are some complications of penile fractures?
A
Penile parasthesia
Dyspareunia - painful erection
Erectile dysfunction
6
Q
What else is important to ask if someone presents with a penile fracture?
A
Ask about haematuria - urethral injury
