![]() ![]() However, long term outcomes of conservative management demonstrated significant complication rates, such as curved or painful erections, erectile dysfunction, arteriovenous fistula formation, infection and plaque formation. The conservative management of penile fracture includes splinting, cold compresses, and a combination of anti-inflammatory, analgesic medications and fibrinolytics. Treatment may be either conservative or surgical. Another condition that may mimic penile fracture is rupture of the dorsal penile artery or vein during sexual intercourse. Physical examination may not be adequate for definitive diagnosis in these cases. After our explanation of the disease and necessity of immediate surgical treatment he accepted the history but he did not want to tell the details.įalse fracture has been reported in patients who present with penile swelling and ecchymosis, although they do not describe classic “snap-pop” or rapid detumescence typically associated with fracture. In our case, first the patient did not give any significant history probably due to embarrassment. Because fear and embarrassment are commonly associated the patient’s presentation to the health care professionals is sometimes significantly delayed. Penile rupture can usually be diagnosed based solely on history and physical examination findings however, in equivocal cases, diagnostic cavernosography or MRI should be performed. In the Middle East, self-inflicted fractures predominate. This includes masturbation, with or without devices falling out of bed with an erection extreme sexual activity, especially during coitus in which the female is on top forceful correction of a congenital chordee and even tucking an erect penis into underwear. Although penile fracture has been reported most commonly with sexual intercourse it can happen from any type of blunt trauma affecting the tumescent shaft. įracture typically occurs during vigorous sexual intercourse, when the rigid penis slips out of the vagina and strikes the perineum or pubic bone, sustaining a buckling injury. The patient usually describe a cracking or popping sound as tunica tears, followed by pain, rapid detumescence, and discoloration and swelling of penile shaft. The patient age ranges from 12 to 82 years with a mean age of mostly fourth decade. We have also added a new page to the Suspected Cancer section on Safety Netting patients with suspected cancer.Penile fracture may present with classic “eggplant deformity” of swollen penis along with ecchymosis confined to Buck’s fascia. The Gynae 2WW page and referral form have been updated. Gynae 2WW & Cancer Safety Netting (06/07/23) Information on Abnormal Vaginal Bleeding and Cervical Conditions has been updated and the flow diagram on Unscheduled Bleeding on HRT added. The Tier 2 Weight Management page has been updated with the latest service for Bristol.Ībnormal Vaginal Bleeding & Cervical Conditions (06/07/23) Paediatric Asylum & Refugee Service (10/07/23)Ī new page has been created giving details of Asylum & Refugee Clinic (ARC) available to paediatric patients. Please note the NBT Tier 3 service is currently closed to new referrals. Weight Management (Tier 3 & 4) Service (12/07/23) The Pelvic Health Physio page has been updated with links to self-help and self-referral information. Latest News: Pelvic Health Physio (17/07/23) ![]()
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