Penile Fractures: Evaluation and Management

Allen Simms; Nima Baradaran; Tom F Lue; Benjamin N Breyer

doi:10.1016/j.ucl.2021.06.011

Penile Fractures: Evaluation and Management

Urol Clin North Am. 2021 Nov;48(4):557-563. doi: 10.1016/j.ucl.2021.06.011. Epub 2021 Aug 21.

Authors

Allen Simms¹, Nima Baradaran¹, Tom F Lue¹, Benjamin N Breyer²

Affiliations

¹ Department of Urology, University of California San Francisco, San Francisco, CA, USA.
² Department of Urology, University of California San Francisco, San Francisco, CA, USA. Electronic address: Benjamin.breyer@ucsf.edu.

PMID: 34602175
DOI: 10.1016/j.ucl.2021.06.011

Abstract

Penile fracture is a urologic injury with an etiology that varies based on the cultural milieu. Diagnosis can be made based on history and physical examination alone. Patients should be evaluated with RUG or cystoscopy when urethral injury is suspected. Ultrasound or MRI is a helpful adjunct when the diagnosis is unclear, and can assist in identifying the location of the rupture. Surgical management is favored over conservative measures to improve outcomes. Delayed surgical repair may not be inferior to immediate intervention.

Keywords: Collagenase clostridium histolyticum; Corpus cavernosum; Penile fracture; Penile rupture; Penile trauma; Urethral injury.

Publication types

Review

MeSH terms

Humans
Male
Penis / injuries*
Rupture / diagnosis
Rupture / therapy
Treatment Outcome