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2020, Number 1

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RCU 2020; 9 (1)

Fracture of the corpora cavernous of the penis

Sagué LJL, Doimeadiós RZ

Language: Spanish
References: 12
Page: 34-40
PDF size: 753.63 Kb.


ABSTRACT

Introduction: The fracture of the corpora cavernous is a disease whose real incidence is unknown. The mechanisms by which it happens include sexual intercourse (when the erect penis hits the female pelvis) and masturbation. The characteristic symptoms are cracking, detumescence and pain.
Objective: To describe the case of a patient who suffered a fracture of the corpora cavernous of the penis during intercourse.
Case presentation: Male patient, 22 years old without history related, who attended to the emergency service with detumescence occur, pain and presence of hematoma of 21 hours-evolution after trauma occurred during intercourse. The affectation was penile fracture according to the clinical and physical examination. The patient underwent surgery. During the surgery, it was detected a large penis hematoma, injury of the small corpora cavernous and harmless urethra. During the follow-up after surgery, the patient did not show functional alterations or anatomical landmarks.
Conclusions: The main diagnosis of a penile fracture is clinical, based on the background and the correct physical examination. The early surgical treatment allows to restore the penis to its functional physiologically shape, which reduces the complications to a great extent.


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