Surgical treatment of blunt trauma (fracture) of the penis with damage to the urethra

Cover Page

Cite item

Full Text

Abstract

This case comprised treatment of a patient with penile injury involving damage to the urethra. Revision of the penis, suturing defects of the tunica cavernous membrane, and primary suture of the urethra were performed. The postoperative period was complicated by necrosis of the skin of the penis, requiring repeated surgical intervention. Replacement plasty of the skin of the penis, using skin from the outer surface of the thigh, was performed with a satisfactory result.

About the authors

Stanislav M. Basok

Sochi City Hospital No. 4, Ministry of Health Care of Krasnodar Region

Author for correspondence.
Email: stas_basok@mail.ru

Urologist

Russian Federation, Sochi

Pavel S. Kyzlasov

State Research Center Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia

Email: dr.kyzlasov@mail.ru

Doctor of Medical Science, Associate Professor, Department Urology and Andrology

Russian Federation, Moscow

Alexandr P. Kobzarev

Sochi City Hospital No. 4, Ministry of Health Care of Krasnodar Region

Email: dr.kyzlasov@mail.ru

Candidate of Medical Science, Head of Urological Unit

Russian Federation, Sochi

Sergey K. Sagradov

Sochi City Hospital No. 4, Ministry of Healthcare of Krasnodar Region

Email: dr.kyzlasov@mail.ru

Urologist

Russian Federation, Sochi

Elena Yu. Dolbilkina

Sochi City Hospital No. 4, Ministry of Healthcare of Krasnodar Region

Email: dr.kyzlasov@mail.ru

Surgeon

Russian Federation, Sochi

References

  1. Аль-Шукри С.Х., Боровец С.Ю., Голощапов Е.Т., и др. Клинические рекомендации по оказанию скорой медицинской помощи при травме мужских мочеполовых органов, инородном теле уретры и мочевого пузыря, фимозе и парафимозе // Урологические ведомости. – 2013. – Т. 3. – № 4. – С. 22–28. [Al’-Shukri SKh, Borovets SY, Goloshchapov ET, et al. Clinical recommendation for first medical emergency treatment in case of male urogenital organs trauma, foreign body in urethra and bladder, phimosis and paraphimosis. Urologicheskie vedomosti. 2013;3(4):22-28. (In Russ.)]
  2. Zargooshi J. Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol. 2000;164(2):364-366. doi: 10.1016/S0022-5347(05)67361-2.
  3. Eke N. Fracture of the penis. Br J Surg. 2002;89(1):555-565. doi: 10.1046/j.1365-2168.2002.02075.x.
  4. Белый Л.Е. Перелом полового члена. Современные аспекты диагностики и лечения // Андрология и генитальная хирургия. – 2010. – Т. 11. – № 2. – С. 23–28 [Belyi LE. Penile fracture, modern aspects of diagnosis and treatment. Andrologija i genital’naja hirurgija. 2010;11(2):23-28. (In Russ.)]
  5. Ibrahiem EHI, El-Tholoth HS, Mohsen T, et al. Penile Fracture: Long-term Outcome of Immediate Surgical Intervention. Urology. 2010;75(1):108-111. doi: 10.1016/j.urology.2009.08.057.
  6. Amer T, Wilson R, Chlosta P, et al. Penile fracture: A meta-analysis. Urol Int. 2016;96(3):315-329. doi: 10.1159/000444884.
  7. Moslemi MK. Evaluation of epidemiology, concomitant urethral disruption and seasonal variation of penile fracture: A report of 86 cases. Can Urol Assoc J. 2013;7(9-10): E572-575. doi: 10.5489/cuaj.179.
  8. Barros R, Schul A, Ornellas P, et al. Impact of Surgical Treatment of Penile Fracture on Sexual Function. Urology. 2018. doi: 10.1016/j.urology.2018.11.047.
  9. Johnsen NV, Kaufman MR, Dmochowski RR, Milam DF. Erectile Dysfunction Following Pelvic Fracture Urethral Injury. Sex Med Rev. 2018;6(1):114-123. doi: 10.1016/j.sxmr.2017.06.004.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Retrograde urethrography before surgery

Download (137KB)
3. Fig. 2. Necrosis of the skin of the penis

Download (195KB)
4. Fig. 3. Urethral fistula in the middle one-third of the penis

Download (296KB)
5. Fig. 4. Retrograde urethrography after repeated surgery

Download (147KB)

Copyright (c) 2019 Basok S.M., Kyzlasov P.S., Kobzarev A.P., Sagradov S.K., Dolbilkina E.Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies