Skip to main content

Treatment of Penile Injury. I: Minor and Intermediate Surgeries

  • Chapter
  • First Online:
Urogenital Trauma: A Practical Guide
  • 126 Accesses

Abstract

The treatment of penile trauma is a vast topic that linearly correlates with the anatomopathology and the severity of the injury. It may just be a minor or intermediate intervention such as superficial wound suturing, zipper or constricting ring removal, and repair of a penile fracture, but may also consist of complex procedures such as penile replantation, reconstruction, or transplantation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kim JH, Park JY, Song YS. Traumatic penile injury: from circumcision injury to penile amputation. Biomed Res Int. 2014;2014:375285. https://doi.org/10.1155/2014/375285. Epub 2014 Aug 28. PMID: 25250318; PMCID: PMC4164514.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Leslie SW, Sajjad H, Taylor RS. Penile Zipper and ring injuries. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2022. PMID: 28722916.

    Google Scholar 

  3. Nakagawa T, Toguri AG. Penile Zipper injury. Med Princ Pract. 2006;15:303–4. https://doi.org/10.1159/000092995.

    Article  PubMed  Google Scholar 

  4. Flowerdew R, Fishman IJ, Churchill BM. Management of penile zipper injury. J Urol. 1977;117(5):671. https://doi.org/10.1016/s0022-5347(17)58581-x. PMID: 859209.

    Article  PubMed  CAS  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  PubMed  PubMed Central  CAS  Google Scholar 

  6. Raveenthiran V. Releasing of zipper-entrapped foreskin: a novel nonsurgical technique. Pediatr Emerg Care. 2007;23(7):463–4. https://doi.org/10.1097/01.pec.0000280505.37300.c1. PMID: 17666927.

    Article  PubMed  Google Scholar 

  7. 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 

  8. Alkhureeb M. Case report of early release of penile strangulation by metallic rings. Int J Sci Res. 2016;5:1442–4.

    Google Scholar 

  9. Nuhu A, Edino ST, Agbese GO, Kallamu M. Penile gangrene due to strangulation by a metallic nut: a case report. West Afr J Med. 2009;28:340–2.

    PubMed  CAS  Google Scholar 

  10. Yamaçake KG, Tavares A, Padovani GP, Guglielmetti GB, Cury J, Srougi M. Long-term treatment outcomes between surgical correction and conservative management for penile fracture: retrospective analysis. Korean J Urol. 2013;54(7):472–6. https://doi.org/10.4111/kju.2013.54.7.472. Epub 2013 Jul 15. PMID: 23878691; PMCID: PMC3715712.

    Article  PubMed  PubMed Central  Google Scholar 

  11. EAU guidelines. Edn. presented at the EAU annual congress Amsterdam March 2022. isbn:978-94-92671-16-5. https://uroweb.org/guidelines/urological-trauma/chapter/urogenital-trauma-guidelines

  12. 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 

  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. Wong NC, Dason S, Bansal RK, Davies TO, Braga LH. Can it wait? A systematic review of immediate vs. delayed surgical repair of penile fractures. Can Urol Assoc J. 2017;11(1–2):53–60. https://doi.org/10.5489/cuaj.4032. PMID: 28443146; PMCID: PMC5403677.

    Article  PubMed  PubMed Central  Google Scholar 

  15. 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 

  16. Kominsky H, Beebe S, Shah N, Jenkins LC. Surgical reconstruction for penile fracture: a systematic review. Int J Impot Res. 2020;32(1):75–80. https://doi.org/10.1038/s41443-019-0212-1. Epub 2019 Nov 4. PMID: 31685943.

    Article  PubMed  Google Scholar 

  17. Falcone M, Garaffa G, Castiglione F, Ralph DJ. Current management of penile fracture: an up-to-date systematic review. Sex Med Rev. 2018;6(2):253–60. https://doi.org/10.1016/j.sxmr.2017.07.009. Epub 2017 Sep 2. PMID: 28874325.

    Article  PubMed  Google Scholar 

  18. Kamdar C, Mooppan UM, Kim H, Gulmi FA. Penile fracture: preoperative evaluation and surgical technique for optimal patient outcome. BJU Int. 2008;102(11):1640–4; discussion 1644. Epub 2008 Aug 14. PMID: 18710448. https://doi.org/10.1111/j.1464-410X.2008.07902.x.

    Article  PubMed  Google Scholar 

  19. Salgado CJ, Chim H, Tang JC, Monstrey SJ, Mardini S. Penile reconstruction. Semin Plast Surg. 2011;25(3):221–8. https://doi.org/10.1055/s-0031-1281492. PMID: 22851914; PMCID: PMC3312184.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Hall SJ, Wagner JR, Edelstein RA, Carpinito GA. Management of gunshot injuries to the penis and anterior urethra. J Trauma. 1995;38(3):439–43. https://doi.org/10.1097/00005373-199503000-00028. PMID: 7897734.

    Article  PubMed  CAS  Google Scholar 

  21. Goldman C, Shaw N, du Plessis D, Myers JB, van der Merwe A, Venkatesan K. Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings. Transl Androl Urol. 2021;10(6):2596–608. https://doi.org/10.21037/tau-20-1175. PMID: 34295746; PMCID: PMC8261456.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Maxwell BG, Chouhan JD, Lundeberg MR, Liu JJ. National patterns of injury and outcomes of gunshot wounds to the penis: a trauma quality programs retrospective cohort analysis. Acute Med Surg. 2021;8(1):e636. https://doi.org/10.1002/ams2.636. PMID: 33747534; PMCID: PMC7962619.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Onuk O, Arslan B, Yanaral F, Hazar A, Özkan A, Gezmis C, Nuhoğlu B. Management of gunshot injury of glans penis that extends to anterior urethra: a rare case report. Haseki Tıp Bülteni. 2016;54:249–51. https://doi.org/10.4274/haseki.3125.

    Article  Google Scholar 

  24. Ghabisha S, Ahmed F, Al-wageeh S, Al-shami E, Alyhari Q, Dajenah M, Mohammed F. Penetrating trauma to scrotum and penis caused by a gunshot in 17-year old man: a case report. J Emerg Med Trauma Acute Care. 2022. https://doi.org/10.5339/jemtac.2022.21.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

AL-Mamari, S.A. (2023). Treatment of Penile Injury. I: Minor and Intermediate Surgeries. In: Urogenital Trauma: A Practical Guide. Springer, Singapore. https://doi.org/10.1007/978-981-99-6171-9_39

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-6171-9_39

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-6170-2

  • Online ISBN: 978-981-99-6171-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics