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Penile fracture

Penile fracture is the traumatic rupture of the tunica albuginea due to significant flexion.

Cases of penile fractures are quite rare: 1 per 100000 men.

Attention! It is important to consult a doctor within 2 days of the injury.

Signs and symptoms of penile fracture

Penile fracture occurs with a cracking sound. The man feels significant pain. There is an immediately loss of erection and the formation of skin hematoma. A penis becomes like an eggplant:  thick and purple.

Penile fracture examination

To refine the diagnosis ultrasound examination is enough. Our clinic is equipped with expert-class ultrasound devices, which allows to determine the exact location and severity of rupture of the tunica albugineum.

Penile fractures always require surgery, it is performed an urgent suturing of rupture of tunica albugineum. A circular skin incision is made in 1 cm behind the glans, the skin is shifted to the base of the penis, scalping the organ. The affected area of the tunica albugineum is localized and sutured with dissolvable stitches. The operation ends with the removal of the foreskin (circumcision).It is not recommended to have sexual intercourse for 1,5 months after surgical intervention.

In case of not timely treatment, when more than 2 days have been passing since the injury, the penis is bandaging with a special elastic roller. It is removed after 10-12 days, when the defect in the tunica albugineum is clotting. However, in this case, almost inevitably, there is a deformity of the penis during erection due to a rough scar in the area of ​​the fracture.

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Frontstein Urology Clinic, Sechenov First Moscow State Medical University Clinic

 

Clinic of Urology
Sechenov University
Founded in 1866

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