medigraphic.com

2019, Number 1

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Cir Cir 2019; 87 (1)

Unusual cavernous body break: results of timely surgical management

Pineda-Murillo J, Sánchez-Bermeo AF, Martínez-Carrillo G, Torres-Aguilar J, Viveros-Contreras C

Language: Spanish
References: 36
Page: 79-84
PDF size: 490.16 Kb.


ABSTRACT

Background: The rupture of the cavernous body (faux pas du coit) refers to the solution of continuity in its surrounding tunica albuginea. It occurs in one of 175,000 hospital admissions, accounting for 58% of penile lesions. When the erect penis flexes abnormally, the abrupt increase in intracavernous pressure exceeds the tensile strength of the tunica albuginea and often determines transverse laceration of the proximal body of the penis. Clinical Case: A 29-year-old male patient presented to the emergency department for an 8-h course of evolution characterized by detumescence, lateral deviation, violet coloration and penile pain, following the introduction of the erect penis into his underwear. The patient was taken as soon as possible to surgical exploration and a 1 × 1 cm continuity solution was repaired in the right corpus cavernosum. Conclusion: The fracture of the penis is a rare disease and a urological emergency. Immediate repair of the rupture of the penis has a low complication rate, shorter hospital stay and better long-term results.


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