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Symptoms, Signs, Diagnostic Means, Differential Diagnosis, and Grading of Penile Injury

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Urogenital Trauma: A Practical Guide

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Abstract

Once again, as open penile injury or constricting devices are readily observed in physical examination, more attention will be given to penile fracture in this discussion. The diagnosis of a penile fracture can be made from the classic clinical triad of an audible crack during sexual activity, detumescence, and the appearance of hematoma [1].

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References

  1. Phillips EA, Esposito AJ, Munarriz R. Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center. Andrology. 2015;3(3):632–6. https://doi.org/10.1111/andr.12043. PMID: 26013107.

    Article  PubMed  Google Scholar 

  2. Barros R, Hampl D, Cavalcanti AG, Favorito LA, Koifman L. Lessons learned after 20 years’ experience with penile fracture. Int Braz J Urol. 2020;46(3):409–16. https://doi.org/10.1590/S1677-5538.IBJU.2019.0367. PMID: 32167705; PMCID: PMC7088490.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Morey AF, Brandes S, Dugi DD 3rd, et al. Urotrauma: AUA guideline. J Urol. 2014;192:327. https://www.auanet.org/guidelines-and-quality/guidelines/urotrauma-guideline

    Article  PubMed  PubMed Central  Google Scholar 

  4. Mirzazadeh M, Fallahkarkan M, Hosseini J. Penile fracture epidemiology, diagnosis and management in Iran: a narrative review. Transl Androl Urol. 2017;6(2):158–66. https://doi.org/10.21037/tau.2016.12.03. PMID: 28540222; PMCID: PMC5422687.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Krishna Reddy SV, Shaik AB, Sreenivas K. Penile injuries: a 10-year experience. Can Urol Assoc J. 2014;8(9–10):E626–31. https://doi.org/10.5489/cuaj.1821. PMID: 25295134; PMCID: PMC4164551.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Atreya A, Baral S. Penile fracture: a case report from Nepal. Clin Case Rep. 2021;9:e04786. https://doi.org/10.1002/ccr3.4786.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Barros R, Ribeiro JGA, da Silva HAM, de Sá FR, Júnior AMF, Favorito LA. Urethral injury in penile fracture: a narrative review. Int Braz J Urol. 2020;46(2):152–7. https://doi.org/10.1590/S1677-5538.IBJU.2020.99.02. PMID: 31961620; PMCID: PMC7025847.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Amer T, Wilson R, Chlosta P, AlBuheissi S, Qazi H, Fraser M, Aboumarzouk OM. Penile fracture: a meta-analysis. Urol Int. 2016;96(3):315–29. https://doi.org/10.1159/000444884. Epub 2016 Mar 9. PMID: 26953932.

    Article  PubMed  Google Scholar 

  9. Zargooshi J. Sexual function and tunica albuginea wound healing following penile fracture: an 18-year follow-up study of 352 patients from Kermanshah, Iran. J Sex Med. 2009;6(4):1141–50. https://doi.org/10.1111/j.1743-6109.2008.01117.x. Epub 2008 Dec 4. PMID: 19138357.

    Article  PubMed  Google Scholar 

  10. Zare Mehrjardi M, Darabi M, Bagheri SM, Kamali K, Bijan B. The role of ultrasound (US) and magnetic resonance imaging (MRI) in penile fracture mapping for modified surgical repair. Int Urol Nephrol. 2017;49:937–45.

    Article  PubMed  Google Scholar 

  11. Gupta N, Goyal P, Sharma K, Bansal I, Gupta S, Li S, Zinn K, Kumar Y. Penile fracture: role of ultrasound. Transl Androl Urol. 2017;6(3):580–4. https://doi.org/10.21037/tau.2017.03.38. PMID: 28725601; PMCID: PMC5503951.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Shukla AK, Bhagavan BC, Sanjay SC, Krishnappa N, Sahadev R, V S. Role of ultraosonography in grading of penile fractures. J Clin Diagn Res. 2015;9(4):TC1–3. https://doi.org/10.7860/JCDR/2015/11628.5754. Epub 2015 Apr 1. PMID: 26023616; PMCID: PMC4437132.

    Article  Google Scholar 

  13. Rees RW, Brown G, Dorkin T, Lucky M, Pearcy R, Shabbir M, Shukla CJ, Summerton DJ, Muneer A, BAUS Section of Andrology and Genitourethral Surgery (AGUS). British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies—penile fracture. BJU Int. 2018;122(1):26–8. https://doi.org/10.1111/bju.14167. Epub 2018 Apr 2. PMID: 29438589.

    Article  PubMed  Google Scholar 

  14. Choi M-H, Kim B, Ryu J-A, Lee SW, Lee KS. MR imaging of acute penile fracture. Radiographics. 2000;20(5):1397–405.

    Article  CAS  PubMed  Google Scholar 

  15. Saglam E, Tarhan F, Hamarat MB, Can U, Coskun A, Camur E, Sarica K. Efficacy of magnetic resonance imaging for diagnosis of penile fracture: a controlled study. Investig Clin Urol. 2017;58(4):255–60. https://doi.org/10.4111/icu.2017.58.4.255. Epub 2017 Jun 2. PMID: 28681035; PMCID: PMC5494349.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Sokolakis I, Schubert T, Oelschlaeger M, Krebs M, Gschwend JE, Holzapfel K, et al. The role of magnetic resonance imaging in the diagnosis of penile fracture in real-life emergency settings: comparative analysis with intraoperative findings. J Urol. 2019;202(3):552–7. 101097JU0000000000000211

    Article  PubMed  Google Scholar 

  17. Dever DP, Saraf PG, Catanese RP, Feinstein MJ, Davis RS. Penile fracture: operative management and cavernosography. Urology. 1983;22(4):394–6. https://doi.org/10.1016/0090-4295(83)90418-1. PMID: 6636395.

    Article  CAS  PubMed  Google Scholar 

  18. Karadeniz T, Topsakal M, Ariman A, Erton H, Basak D. Penile fracture: differential diagnosis, management and outcome. Br J Urol. 1996;77(2):279–81. https://doi.org/10.1046/j.1464-410x.1996.86420.x. PMID: 8800899.

    Article  CAS  PubMed  Google Scholar 

  19. Beysel M, Tekin A, Gürdal M, Yücebaş E, Sengör F. Evaluation and treatment of penile fractures: accuracy of clinical diagnosis and the value of corpus cavernosography. Urology. 2002;60(3):492–6. https://doi.org/10.1016/s0090-4295(02)01813-7. PMID: 12350495.

    Article  PubMed  Google Scholar 

  20. Kurkar A, Elderwy AA, Orabi H. False fracture of the penis: different pathology but similar clinical presentation and management. Urol Ann. 2014;6(1):23–6. https://doi.org/10.4103/0974-7796.127015. PMID: 24669117; PMCID: PMC3963338.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Feki W, Derouiche A, Belhaj K, Ouni A, Ben Mouelhi S, Ben Slama MR, Ayed M, Chebil M. False penile fracture: report of 16 cases. Int J Impot Res. 2007;19(5):471–3. https://doi.org/10.1038/sj.ijir.3901574. Epub 2007 Jun 7. PMID: 17554393.

    Article  CAS  PubMed  Google Scholar 

  22. Wong KW, Ho BSH, Ip CH, Yiu MK. Isolated penile urethral injury: a rare case following male coital trauma. Asian J Urol. 2015;2(3):175–8. https://doi.org/10.1016/j.ajur.2015.06.006. Epub 2015 Jul 6. PMID: 29264140; PMCID: PMC5730709.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Moore EE, Malangoni MA, Cogbill TH, Peterson NE, Champion HR, Jurkovich GJ, Shackford SR. Organ injury scaling VII: cervical vascular, peripheral vascular, adrenal, penis, testis, and scrotum. J Trauma. 1996;41(3):523–4. https://doi.org/10.1097/00005373-199609000-00023. PMID: 8810974.

    Article  CAS  PubMed  Google Scholar 

  24. Dawood O, Tabibi S, Fiuk J, Patel N, El-Zawahry A. Penile ring entrapment—a true urologic emergency: grading, approach, and management. Urol Ann. 2020;12(1):15–8. https://doi.org/10.4103/UA.UA_16_19. Epub 2019 Nov 7. PMID: 32015611; PMCID: PMC6978966.

    Article  PubMed  Google Scholar 

  25. Bhat AL, Kumar A, Mathur SC, Gangwal KC. Penile strangulation. Br J Urol. 1991;68(6):618–21. https://doi.org/10.1111/j.1464-410x.1991.tb15426.x. PMID: 1773293.

    Article  CAS  PubMed  Google Scholar 

  26. Rashid M, Sarwar SU. Avulsion injuries of the male external genitalia: classification and reconstruction with the customised radial forearm free flap. Br J Plast Surg. 2005;58(5):585–92. https://doi.org/10.1016/j.bjps.2004.12.014. PMID: 15927151.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, The Royal Hospital, Muscat, Oman

    Said Abdallah AL-Mamari

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AL-Mamari, S.A. (2023). Symptoms, Signs, Diagnostic Means, Differential Diagnosis, and Grading of Penile Injury. In: Urogenital Trauma: A Practical Guide. Springer, Singapore. https://doi.org/10.1007/978-981-99-6171-9_38

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  • DOI: https://doi.org/10.1007/978-981-99-6171-9_38

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-99-6171-9

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