Annals of African Medicine
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Year : 2022  |  Volume : 21  |  Issue : 1  |  Page : 102-105

Double penile fracture without urethral injury presenting after 7 days

Department of Surgery, Edo University, Iyamho; Department of Surgery, Central Hospital, Auchi, Edo State, Nigeria

Correspondence Address:
Friday Emeakpor Ogbetere
Department of Surgery, Edo University, KM 7, Auchi-Abuja Expressway, PMB 04 Iyamho, Auchi, Edo State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aam.aam_56_20

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Penile fracture is the sudden rupture of the tunica albuginea of an erect penis due to blunt trauma. It is an uncommon uropathology which characteristically occurs when one or both of the turgid penile corpora cavernosa forcefully snap under an abrupt blunt trauma, usually during an aggressive sexual intercourse or noncoital manipulation. In the majority of cases, diagnosis is clinical. Surgical repair irrespective of the time of presentation results in accelerated recovery, reduced morbidity, and fewer short and long-term complication rates. We report the case of a 35-year-old banker who sustained a bilateral rupture of the tunica albuginea without urethral injury during a heterosexual intercourse. He presented 7 days after the trauma to our facility following the persistence of symptoms despite conservative management with herbal medicine. Following a clinical diagnosis of penile fracture, he had penile exploration under regional anesthesia using a degloving subcoronal incision. He subsequently had repair of both corporal tear after clot evacuation. The postoperative period was uneventful, and he was discharged on the 3rd day after the surgery. He had been followed up for 2 years with good erectile and functional outcomes. This case report reiterates the fact that late presentation is not a barrier to surgical management and good outcome.

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