MyMediktor - Trauma to the penis

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A penile injury and fracture of the cavernous bodies is an uncommon clinical situation.

The most common cause is direct trauma during sexual intercourse.

It manifests as sudden pain, bruising and deformity.

Diagnosis is reached through medical history and physical examination. Ultrasound can be performed as imaging test.

It is currently treated with urgent surgical repair.

Bibliographic references

Michael S Runyon, MD, FAAEM, FACEP. Blunt genitourinary trauma: Initial evaluation and management. UpToDate, Abril, 2015.
Swanson DE. Penile fracture: outcomes of early surgical intervention. Urology 2014; 84:1117.
Morey AF. Consensus on genitourinary trauma: external genitalia. BJU Int 2004; 94:507.
Koifman L. Penile fracture: diagnosis, treatment and outcomes of 150 patients. Urology 2010; 76:1488.
Lumen N. Review of the current management of lower urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol 2015; 67:925.

Author

Dr. Patricia Sánchez

Copyright

Symptoms

Pain in penis

Penis bruise is more evident when sliding the skin down

Penile detumescence after pain

Pain for more than 20 minutes

Genital discomfort

Increase in pain and swelling of the affected area

Blood in the urine

Loss of sensitivity in the area.

Wound with signs of infection (warmth, redness, painful sensation, fever, swelling)

Apply local cold to the injured area 3 times a day to reduce inflammation.

Wear loose-fitting clothing.