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. Accessed: February 15, 2017.Penile fracture may present with classic “eggplant deformity” of swollen penis along with ecchymosis confined to Buck’s fascia. Psychological aspects of Peyronie's disease. Peyronie's disease: an anatomically-based hypothesis and beyond. Current management of penile fracture: An up-to-date systematic review. Falcone M, Garaffa G, Castiglione F, Ralph DJ.The differential diagnoses listed here are not exhaustive. Surgical repair : patients unresponsive to treatment, with severe penile deformity, and/or with extensive calcifications.Observation: patients with a mild penile curvature ( 30° ) and/or erectile dysfunction.Symptomatic improvement: observation or continuation of oral pentoxifylline for another 6 months.No symptomatic improvement: intralesional collagenase injections.Active phase: oral NSAIDs or oral pentoxifylline for 3 months.Penile fracture (penile injury → rupture of corpora cavernosa → penile curvature).Possibly associated with psychological conditions ( e.g., anxiety, depression ).Erectile dysfunction due to abnormal curvature of the penis.Penile nodules/indurations on the affected side of the penis.Characterized by the lack of progression of penile deformity and pain.Characterized by progressive penile deformity and painful erection.Pathogenesis: repeated penile microtrauma during sexual intercourse or athletic activity followed by abnormal wound healing → fibrous plaque formation.Definition : : f ibroproliferative disorder that affects the tunica albuginea of the penis, causing abnormal curvature of the penis.Rupture of the dorsal vein of the penis.
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