Presentation
The patient reports that the penile injury occurred during sexual intercourse, describing a distinct "snapping" sound during the event, followed by the immediate onset of pain and rapid swelling of the penis. The patient noted that the penis became flaccid shortly after the injury, accompanied by significant discomfort. There is no history of previous trauma to the genital area or prior penile deformities.
Patient Data
A defect is identified in the tunica albuginea along the inferolateral aspect of the right corpora cavernosa. The defect measures approximately 0.58 cm in size. Surrounding the defect, a hematoma is noted. The left corpora cavernosa and the corpora sponges are normal in ecotexture and outline. No evidence of focal space-occupying lesions or calcified plaques is present.
Case Discussion
The patient was diagnosed with a penile fracture and underwent immediate surgical repair to correct the defect and evacuate the hematoma. Postoperatively, the patient was managed with analgesia, and penile care, and advised to follow up for monitoring recovery and preventing complications.
Take-home message: penile fractures require urgent diagnosis and immediate surgical repair to prevent complications such as erectile dysfunction and penile deformity. Early intervention, combined with appropriate postoperative care, is critical for restoring function and achieving favorable long-term outcomes.
Additional contributors: Dr. Arkadeep Dhali, Dr. Amrita Ganguly, and Dr. Sabnam Parvin.
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