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    Retrograde Urethrography Examination in Penile Fracture: Case Report

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    sofia ayu lestari
    This case report describes a 51-year-old man who presented with penile swelling, pain, hematuria, and difficulty voiding after blunt trauma during sex. A physical exam found a hematoma on his penis and tenderness. Retrograde urethrography revealed a tear in his distal penile urethra and rupture of the corpora cavernosa, confirming a penile fracture with associated urethral injury. Penile fractures often cause a popping sound and immediate swelling and pain. Diagnosis is usually clinical but imaging like retrograde urethrography can help diagnose associated urethral injuries to guide effective treatment and repair of injuries.

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    Retrograde Urethrography Examination in Penile Fracture: Case Report

    Uploaded by

    sofia ayu lestari
    68 views3 pages
    This case report describes a 51-year-old man who presented with penile swelling, pain, hematuria, and difficulty voiding after blunt trauma during sex. A physical exam found a hematoma on his penis and tenderness. Retrograde urethrography revealed a tear in his distal penile urethra and rupture of the corpora cavernosa, confirming a penile fracture with associated urethral injury. Penile fractures often cause a popping sound and immediate swelling and pain. Diagnosis is usually clinical but imaging like retrograde urethrography can help diagnose associated urethral injuries to guide effective treatment and repair of injuries.

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    13865-Article Text-26632-1-10-20210108

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    This case report describes a 51-year-old man who presented with penile swelling, pain, hematuria, and difficulty voiding after blunt trauma during sex. A physical exam found a hematoma on his penis and tenderness. Retrograde urethrography revealed a tear in his distal penile urethra and rupture of the corpora cavernosa, confirming a penile fracture with associated urethral injury. Penile fractures often cause a popping sound and immediate swelling and pain. Diagnosis is usually clinical but imaging like retrograde urethrography can help diagnose associated urethral injuries to guide effective treatment and repair of injuries.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    68 views3 pages

    Retrograde Urethrography Examination in Penile Fracture: Case Report

    Uploaded by

    sofia ayu lestari
    This case report describes a 51-year-old man who presented with penile swelling, pain, hematuria, and difficulty voiding after blunt trauma during sex. A physical exam found a hematoma on his penis and tenderness. Retrograde urethrography revealed a tear in his distal penile urethra and rupture of the corpora cavernosa, confirming a penile fracture with associated urethral injury. Penile fractures often cause a popping sound and immediate swelling and pain. Diagnosis is usually clinical but imaging like retrograde urethrography can help diagnose associated urethral injuries to guide effective treatment and repair of injuries.

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    300 Indian Journal of Public Health Research & Development, Jan-March 2021, Vol. 12, No.

    Retrograde Urethrography Examination in Penile Fracture:


    Case Report

    Iwan Purnomo Aji1, Fikri Rizaldi2


    1
    General Practitioner, Semen Gresik Hospital, Gresik,East Java, Indonesia, 2General Urologist, Semen Gresik
    Hospital, Gresik,East Java, Indonesia

    Abstract
    Penile fracture is an uncommon condition. Fracture of the penis is a tear in the tunica albuginea of the
    corpora cavernosa that may be associated with injury to the corpus spongiosum and urethra. We describe
    the case of a 51-year-old man who presented with acute penile pain, penile swelling, and hematuria after a
    blunt trauma during sexual intercourse. retrograde urethrography examination revealed extravasation from
    the distal penile urethra into the cavernous structure. In cases of penile fracture, retrograde urethrography
    can be used for definitive diagnosis.

    Keywords: Penile fracture, urethral injury, imaging, retrograde urethrography

    Introduction disfigurement, and blood in the urethral meatus


    urethrorrhagia. These symptoms had emerged 6 hours
    Fracture of the penis is a tear in the tunica albuginea
    earlier, and the patient was still able to void in small
    of the corpora cavernosa which may be associated
    amounts, with blood present in his urine. During the
    with injury to the corpus spongiosum and urethra.1
    Diagnosis is usually clinical, and urethral injury should
    be suspected in the penile fracture, especially in those
    cases with bilateral cavernosal rupture.2

    If there is blood in the meatus, hematuria, and


    difficulty in voiding, an associated urethral injury.
    Immediate retrograde urethrography considered if the
    symptoms of urethral injury are present.3

    This paper aims to present a case of penile fracture


    with associated urethral injury, diagnosed by retrograde
    urethrography.

    Case Report Figure 1 hematoma in the ventral penile shaft


    A male patient, aged 51, came to the emergency unit physical examination, a hematoma in the ventral
    complaining of the sudden loss of erection during sexual penile shaft, pain during palpation, and urethrorrhagia
    intercourse, penile swelling, hematuria, discoloration, were present [figure 1]. The patient’s history and
    a physical examination indicated a penile fracture.
    The patient’s retrograde urethrography revealed
    extravasation from the distal penile urethra into the
    Corresponding author: cavernous structure [figure 2]
    Iwan Purnomo Aji
    K.H. Ach. Faqih st, 01, Pangeranan, Bangkalan, East
    Java, 69115. Tel +62 856 4994 7296.
    email iwanpurnomoaji_08@yahoo.com
    Indian Journal of Public Health Research & Development, Jan-March 2021, Vol. 12, No. 1 301

    symptoms of urethral injury. A retrograde urethrography


    should promptly be requested for effective treatment
    planning and, if the injury is present, simultaneous
    urethral repair during surgery.9

    Conclusions
    In the penile fracture associated with urethral
    injuries, retrograde urethrography is an option. With
    better outcomes and fewer long-term complications,
    early surgery is preferable to conservative management.

    Funding Sources: Used during this study were


    sourced from personal funds.

    Acknowledgments: The authors wish to thank dr.


    Figure 2 Urethral distal injury and rupture of Muchdor, Sp.B., FINACS as President of Semen Gresik
    corpus cavernosum in retrograde urethrography Hospital. Thank you to all staff who provide the medical
    Discussion record. We also thank the respondents of the study for
    their contribution.
    Penile fracture is a rare urological emergency. The
    tunica albuginea is a structure of great tensile strength Internal Conflict: All authors declare that they
    that can withstand rupture at pressures up to 1500 have no conflict of interest.
    mmHg. The tunica albuginea thins markedly during
    Ethical Clearance: Ethical approval has been
    erection, which when combined with abnormal bending
    obtained from the Ethical Commission of Health
    leads to excessive intracavernosal pressure and most
    Research.
    often a transverse laceration of the proximal shaft.4,5

    Penile fracture is diagnosing based on the patient’s References


    history, clinical examination, and the classic triad: 1. Eke N. Fracture of the Penis. Br J Surg.
    audible “cracking” sound, followed by immediate 2002;89:555–65
    swelling and pain.3 2. Dever DP, Saraf PG, Catanese RP. Penile fracture:
    operative management and cavernosography.
    Penile fracture is mostly caused by the bending of
    Urology. 1983;22:394–6.
    the erect penis either over the pubic bone or the perineum
    3. Tsang T, Demby AM. Penile fracture with urethral
    of a sexual partner, during brutal masturbation, or
    injury. J Urol. 1992;147:466–8.
    penile kneading and snapping to make sudden swelling.
    A transverse 1 to 2 cm tunica tear, usually unilateral, 4. Jack GS, Garraway I, Reznichek R, Rajfer J.
    Current treatment options for penile fractures. Rev
    is present despite reports of tears in both corporeal
    Urol 2004;6:114‑20.
    bodies.6,7
    5. Agarwal MM, Singh SK, Sharma DK, Ranjan
    Penile fracture diagnosis is mostly made clinically P, Kumar S, Chandramohan V, et al. Fracture of
    without the need for more diagnostic tools as the fracture the penis: A radiological or clinical diagnosis?
    site is obvious. Cavernosography is considered in A case series and literature review. Can J Urol
    complicated cases due to the inherent contrast reaction 2009;16:4568‑75
    fibrosis from extravasated contrast medium, infection, 6. Asgari MA, Hosseini SY, Safarinejad MR,
    and priapism risk or only in deep dorsal vein rupture Samadzadeh B, Bardideh AR. Penile fractures:
    of the penis, which might be indistinguishable from evaluation, therapeutic approaches, and long-term
    cavernosal rupture.8 results. J Urol. 1996;155:148–9.
    7. El-Taher AM, Aboul-Ella HA, Sayed MA, Gaafar
    Urethral bleeding and voiding incapacity are
    302 Indian Journal of Public Health Research & Development, Jan-March 2021, Vol. 12, No. 1

    AA. Management of penile fracture. J Trauma. fracture of the penis. Br J Urol. 1993;72:228–9.
    2004;56:1138–40. 9. Agrawal SK, Morgan BE, Shafique M. Experience
    8. Koga S, Santo Y, Arakaki Y, et al. Sonography in with penile fractures in Saudi Arabia. Br J Urol.
    1991;67:644–6

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