Superficial dorsal vein injury/thrombosis presenting as false penile fracture requiring dorsal venous ligation

Arash Rafiei; Tariq S Hakky; Daniel Martinez; Justin Parker; Rafael Carrion

doi:10.1002/sm2.47

Superficial dorsal vein injury/thrombosis presenting as false penile fracture requiring dorsal venous ligation

Sex Med. 2014 Dec;2(4):182-5. doi: 10.1002/sm2.47.

Authors

Arash Rafiei¹, Tariq S Hakky¹, Daniel Martinez¹, Justin Parker¹, Rafael Carrion²

Affiliations

¹ Department of Urology, University of South Florida Tampa, FL, USA.
² Division of Andrology, USF Urology Tampa, FL, USA.

PMID: 25548650
PMCID: PMC4272250
DOI: 10.1002/sm2.47

Abstract

Introduction: Conditions mimicking penile fracture are extremely rare and have been seldom described.

Aim: To describe a patient with false penile fracture who presented with superficial dorsal vein injury/thrombosis managed with ligation.

Methods: A 33-year-old male presented with penile swelling and ecchymosis after intercourse. A penile ultrasound demonstrated a thrombosed superficial dorsal vein but also questionable fracture of the tunica albuginea. As the thrombus was expanding, he was emergently taken to the operating room for exploration and required only dorsal venous ligation.

Results: Postoperatively, patient's Sexual Health Inventory for Men score was 23, and he had no issues with erections or sexual intercourse.

Conclusion: Early exploration of patients with suspected penile fracture provides excellent results with maintenance of erectile function. Also, in the setting of dorsal vein thrombosis, ligation preserves the integrity of the penile tissues and avoids unnecessary complications from conservative management. Rafiei A, Hakky TS, Martinez D, Parker J, and Carrion R. Superficial dorsal vein injury/thrombosis presenting as false penile fracture requiring dorsal venous ligation.

Keywords: Dorsal Vein Ligation; False Penile Fracture; Penile Fracture; Superficial Dorsal Vein Thrombosis.