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Penile fracture
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Penile fracture

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Synopsis

A rare injury that typically occurs during intercourse, when the erect penis is forcibly bent against resistance, leading to a traumatic rupture of the engorged corpora cavernosa. Other forms of blunt trauma have been reported. Characterized by a popping sound, rapid detumescence, intense pain, swelling, and hematoma. Other signs and symptoms include ecchymosis, tenderness, eggplant coloration, nausea, vomiting, blood at the meatus, hematuria, and difficulty voiding. The shaft of the penis becomes flaccid or may appear angulated. May be associated with urethral injury or blunt trauma to the scrotum. It is a medical emergency that requires immediate evaluation and intervention.

Management in the past by nonsurgical methods (anti-inflammatory medication, ice, Foley catheter) led to significant morbidity. Currently recommended treatment most often involves surgical repair of corporal bodies or urethra, with care to prevent future complications of sensory loss, painful erection, erectile dysfunction, fistula, necrosis of skin, or difficulty voiding.

Codes

ICD10CM:
S39.840A – Fracture of corpus cavernosum penis, initial encounter

SNOMEDCT:
110016007  – Rupture of corpus cavernosum of penis

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Last Updated: 02/26/2016
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Penile fracture
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Penile fracture : Penile edema, Ecchymosis
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