|
|
| |
| Rupture of Dorsal Vein Mimicking Penile Fracture A Case Report and Literature Review |
Zackaria Ba, Ouima Justin Dieudonne Ziba, Cheikh Saad Bouh Khatraty, Roger Kanza, Camille Overs
|
Abstract:
Penile fracture is a rare and a traumatic emergency in andrology. Immediate surgical repair is widely accepted as the therapy of choice in penile fracture. But some situations mimic penile fracture such as superficial dorsal vein rupture. There are few cases reported in the literature. Aim: To present a case of injury of the penile dorsal vein occurred during sexual intercourse. Methods: A 48 year-old patient received in emergency for suspected penile fracture after one hour of vigorous sexual intercourse, the clinical examination and ultrasound were performed and penile fracture was suspected. A surgical management in emergency was indicated. Results: Peroperative diagnosis was a dorsal vein injury. The surgical management which consisted to early exploration, evacuation of hematoma, and ligation of the bleeding vessel in this case was good with preserving erectile function after surgery, without abnormal curvature erection. Conclusions: Vascular injuries of the penis can mimic perfectly penile fractures. The medical history and clinical examination can lead to prompted exploration for suspected penile fracture. The ultrasound exploration can be limited for detection of penile vascular injury and final surgical exploration offers final diagnosis and repairement of the trauma. Clinical evolution is favourable, without painful nocturnal erections or deviation of the penis or hypoesthesia of the glans.
|
|
|
| | |