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Topic: Penile fracture

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	Management of Penile fracture
		Fracture of the penis is defined as the rupture of the tunica albuginea of corpora cavernosa, as a result of blunt trauma to the erect penis commonly during sexual intercourse or masturbation.
		Penile fracture is an entity that generally has its diagnosis confirmed by its clinical presentation of sudden penile pain, detumescence, penile swelling hematoma and deviation accompanied often by a snapping or crackling sound.
		Retrograde urethrography is indicated in penile fracture with suspected urethral rupture as evident by perurethral bleeding.
	www.pjms.com.pk /issues/janmar06/article/article4.html (2187 words)

	Penile fracture - Wikipedia, the free encyclopedia
		A penile fracture is an injury caused by the rupture of the male corpus cavernosum.
		Penile fracture is generally considered a medical emergency, and emergency medical surgical repair is the usual treatment.
		Non-surgical approaches result in 10%-50% complication rates including permanent penile curvature, damage to the urethra, problems urinating and pain during sexual intercourse.
	en.wikipedia.org /wiki/Penile_fracture (245 words)

	Fractured Nose -- Recommendations and Resources (Site not responding. Last check: 2007-10-24)
		The word ''fracture'' is often applied to bones of living creatures, or to crystals or crystalline materials, such as gemstones or metal.
		Conchoidal fractures often result in a curved breakage surface that resembles the rippling, gradual curves of a mussel shell; the word "conchoid" is derived from the Greek word for this animal.
		A Colles' fracture is a fracture of the distal radius, most commonly caused by people falling forward onto a hard surface and breaking their fall with extended, outstretched hands - falling with wrists flexed would lead to a Smith's fracture.
	www.becomingapediatrician.com /health/59/fractured-nose.html (1353 words)

	Penis - Wikipedia, the free encyclopedia
		Pearly penile papules are raised bumps of somewhat paler color around the base of the glans and are normal.
		Pudendal nerve entrapment is a condition characterized by pain on sitting and loss of penile (or clitoral) sensation and orgasm.
		Penile fracture can occur if the erect penis is bent excessively.
	en.wikipedia.org /wiki/Penis (2074 words)

	Jamaica Gleaner News - Boneless penis breaks in lovemaking - Wednesday \| August 30, 2006
		A penile fracture is not a true fracture in the usual sense as there is no bone to be broken but is instead the medical jargon used to denote the injury described above.
		If left untreated penile fractures may be complicated by the development of erectile dysfunction, abnormal curvature of the penis (Peyronie's disease), painful fibrous nodules, urethral stricture and other complications.
		Penile fractures are usually diagnosed on the basis of history and examination findings alone.
	www.jamaica-gleaner.com /gleaner/20060830/medicine/medicine3.html (638 words)

	Sexual Medicine Program - Miscellaneous Topics
		Penile fracture is an uncommon condition that results from the abrupt bending of the erect penis.
		Accompanying the pain associated with this event is profuse bleeding leading to the development of massive penile shaft and scrotal bruising and swelling.
		We reserve this imaging modality for those cases where either the history or physical findings are not fully consistent with penile fracture, in an effort to spare the patient a visit to the operating room.
	www.mentalhealthchannel.net /cornell/sexualmedicine/misc/index.shtml (603 words)

	eMedicine - Penile Fracture and Trauma : Article by Richard A Santucci, MD, FACS
		Penile fracture, penile amputation, penetrating penile injuries, and penile soft tissue injuries are considered urologic emergencies and typically require surgical intervention.
		Penile fracture is the traumatic rupture of the corpus cavernosum.
		Penile amputation frequently occurs as a result of mental illness; in fact, most cases of penile amputation in the Western world are due to mental illness.
	www.emedicine.com /med/topic3415.htm (7126 words)

	Endotext.com - Endocrinology Of Male Reproduction, Medical and Surgical Therapy of Erectile Dysfunction (Site not responding. Last check: 2007-10-24)
		Penile arterial bypass surgery was first reported in the early seventies as a treatment for erectile dysfunction with many variations in technique existing in the literature.
		Penile arterial insufficiency is most frequently the result of general arteriosclerosis as seen in other medical conditions with similar risk factors of hypercholesterolemia, hypertension, cigarette smoking, and diabetes mellitus.
		Penile venous surgery should be limited to men under age 50 because the high incidence of combined arteriogenic and venogenic impotence in older men leads to an unacceptably high failure rate in this age group.
	www.endotext.org /male/male8/male8.htm (7087 words)

	The Straight Dope: Is it true men can suffer penile fracture?
		I was told my local hospital was home to one of the nation's leading experts in, catch this, penile fractures.
		In about a third, fracture occurred as a result of what is called--and leave it to the French to have an expression for this--a faux pas de coit.
		Fracture always occurs during erection, making you wonder what some of the victims were up to.
	www.straightdope.com /classics/a2_426.html (609 words)

	International braz j urol - Penile fracture: experience in 56 cases (Site not responding. Last check: 2007-10-24)
		Penile fracture is one of the less frequent urological traumas.
		Penile fracture is an entity that generally has its diagnosis confirmed by its clinical presentation.
		Penile fracture is an entity which diagnosis is eminently clinical, and its management should be surgical and immediate, avoiding thus complications related to erectile dysfunction.
	www.scielo.br /scielo.php?script=sci_arttext&pid=S1677-55382003000100007 (1925 words)

	Penis Fracture Resource Center - Overview
		The 'fracture' is actually a tear in the tunica albuginea, the thick fibrous coat surrounding the corpora cavernosum tissue that produces an erection.
		Men with penile fractures will be in excruciating pain and notice fl-and-blue marks in close proximity to the injured area on the penis.
		The men with penile fractures caused from sexual intercourse are typically young, sexually active, and highly motivated to resume sexual activity as soon as the healing process is complete.
	www.herballove.com /library/resource/fracture/ov.asp (902 words)

	Paediatric penile trauma
		Penile trauma is rare because the penis is mobile and largely protected by its position, although in the erect state, in adults the penis is more prone to trauma in the form of penile fracture [1,2].
		Penile trauma complicating circumcision has been reported more frequently, with varying degrees of severity ranging from skin or meatal injury, partial glanular amputation to total penile amputation [3–7].
		Penile strangulation caused by various objects, from wedding rings to rubber bands, has been reported, but none as insidious as entrapment by human hair [13–19].
	www.cirp.org /library/complications/el-bahnasawy1 (1971 words)

	Urology at Hopkins: Brady Urological Institute
		The trauma may be acute and distinct such as a penile fracture but more often it is chronic and low grade such as repeated attempts at sexual intercourse with weak or incomplete erections.
		The potential complications of penile straightening surgery are penile shortening, numbness of the penis, residual curvature and erectile dysfunction.
		Penile shortening occurs in everyone undergoing this operation and is approximately one inch.
	urology.jhu.edu /peyronie/index.php (720 words)

	EMR Textbook - Sexually Related Trauma (Site not responding. Last check: 2007-10-24)
		Penile edema associated with topical aphrodisiacs, irritants, or trauma may involve the prepuce or distal shaft of the penis and can occur as a result of pre-coital or coital activity.
		Although the etiology is uncertain, it is thought to occur from repetitive or prolonged penile stimulation in individuals with a variant in lymphatic drainage to the penis.
		Fracture of the corpora cavernosa and urethral rupture during sexual intercourse.
	www.thrombosis-consult.com /articles/Textbook/91_sexualtrauma.htm (7254 words)

	Sexual Medicine Program - Miscellaneous Topics
		Penile fracture is an uncommon condition that results from the abrupt bending of the erect penis.
		Accompanying the pain associated with this event is profuse bleeding leading to the development of massive penile shaft and scrotal bruising and swelling.
		We reserve this imaging modality for those cases where either the history or physical findings are not fully consistent with penile fracture, in an effort to spare the patient a visit to the operating room.
	www.cornellurology.com /sexualmedicine/misc (603 words)

	Snap without crackle or pop: a rude awakening. A case history of penile fracture -- Gilligan et al. 17 (6): 425 -- ...
		Penile fracture is a rare but worrying condition.
		fracture is caused by a traumatic rupture of the tunica albuginea
		Fracture of the penis: controversy of surgical versus conservative treatment.
	emj.bmjjournals.com /cgi/content/full/17/6/425 (603 words)

	Repair of fractured penis
		Fracture of the penis is an uncommon disorder.
		Late penile deformity, suboptimum painful erections, difficulty in coitus, pulsatile diverticulum, and prolonged hospital stay are associated with conservative management.
		Penile swelling decreases rapidly postoperatively as there is minimal tissue trauma from this approach compared with the degloving technique.
	ourworld.compuserve.com /homepages/L_Lindsey/4320009.htm (857 words)

	UrologyHealth.org - Adult Conditions - Reconstruction & Trauma - Penile Trauma (Site not responding. Last check: 2007-10-24)
		Although there is no bone in the penis, urologists frequently refer to the injury as a penile "fracture." During vigorous thrusting, the erect penis may accidentally slip out of the vagina.
		Historically, treatment for a penis fractured during sexual activity was non-surgical management (e.g., cold compresses, pressure dressings, penile splinting and anti-inflammatory medications).
		Penile injuries related to sexual intercourse can be prevented in most cases if your partner is simply aware of the possibility.
	www.urologyhealth.org /adult/index.cfm?cat=10&topic=112 (2133 words)

	FRACTURE OF THE PENIS: A CRITIQUE OF CLINICAL
		Fracture of the penis is defined as a rupture of the tunica albuginea of the corpus cavernosum.
		Fracture of the penis with laceration of the urethra.
		Corpus cavernosography in acute fractures of the penis.
	www.kfshrc.edu.sa /annals/175/96-268.html (2184 words)

	Penile Fracture and Associated Urethral Injury
		Penile fracture associated with urethral injury iseven more uncommon and accounts for 10 to 20% of reported cases.
		We report the surgical repair of 8 cases of penile fracture,two of which were complex involving both corpora cavernosa and an associatedpartial rupture of the urethra.
		The subsequent penile hematomawhich formed, brought about penile deformityand discoloration, which differed in severity from patient to patient.In one patient blood loss from the external urethral meatus was present(Fig.1) and another patient complained of the inability to urinate fromthe moment of the accident onwards (which occurred 12 h beforehand).
	www.duj.com /Article/DeStefani/DeStefani-2.html (1271 words)

	:: International Braz J Urol ::
		Fractures that were repaired had no organic impotence and had straight, painless erections.
		Penile fracture is the result of axial forces to the erect penis that result in a tear in the tunica and/or Buck’s fascia of the penis.
		In equivocal cases, magnetic resonance imaging may have a role in the diagnosis of penile fracture, since it is a noninvasive and sensitive and specific modality.
	www.brazjurol.com.br /july_august_2005/survey/Urological_Survey_Brandes_398_399.htm (461 words)

	Penile fracture : Article : Nature Clinical Practice Urology
		Penile fracture is defined as rupture of the corpus cavernosum due to blunt trauma to the erect penis.
		Whilst penile fracture remains a clinical diagnosis, it is important to remember that the reported incidence of associated urethral injury ranges from 2% to 20%.
		It is important to remember that penile fracture is likely to result in psychological as well as physical trauma, and can have significant psychosexual sequelae, such as erectile dysfunction.
	www.nature.com /ncpuro/journal/v3/n3/full/ncpuro0433.html (2142 words)

	AJA (Site not responding. Last check: 2007-10-24)
		Penile fracture with or without urethral injury is the most common coital-related injury and typically occurs with a snapping sound associated with severe pain and rapid detumescence [3, 8].
		Isolated urethral injury is extremely rare and differs from what occurs with penile fracture by the absence of a snapping sound, sharp pain and detumescence [4].
		Fracture of the penis causing a corporo-urethral fistula.
	www.asiaandro.com /1008-682X/8/379.htm (1227 words)

	EM2 GENITOURINARY EMERGENCIES
		Penile ruptures are managed by immediate surgical evacuation of blood clot and repair of the torn tunica albuginea of the corpus cavernosum and urethra.
		Penile fracture is a term used to describe the traumatic rupture of the corpus cavernosum of the penis and occurs when the erect penis impacts forcibly on a hard object (sexual partner’s pubis or the floor), receives a direct blow (not my choice of words), or is subjected to abnormal bending.
		Mineral oil and lidocaine infiltration are useful in freeing penile skin from zipper, otherwise the jaws of life-wire cutting or bone cutting pliers are used to divide the median bar of the zipper which causes the zipper to fall apart.
	faculty.washington.edu /alexbert/MEDEX/Spring/EM2GENITOURINARY.htm (7897 words)

	Mayo Clinic Proceedings
		Penile Doppler ultrasonography is helpful in characterizing high-flow priapism and a no-flow state; however, it has low sensitivity in distinguishing between high-flow and low-flow priapism and therefore is not helpful in making a definitive diagnosis at this time.
		Peyronie disease is an acquired penile fibrotic deformity that occurs during erection, usually presenting with palpable plaques.
		Penile blood gas studies and Doppler ultrasonography are used often in the diagnostic work-up.
	www.mayoclinicproceedings.com /inside.asp?AID=823&UID= (2633 words)

	Unusual Erectile Injuries
		Men with penile fractures are in excruciating pain and have a fl-and-blue penis.
		These men with penile fractures are typically young, sexually active, and highly motivated to resume sexual activity as soon as the healing process is complete so surgery is often the best treatment.
		In another case, a drug dealer angered a supplier, and his punishment was to place his penis on the ground and have it stomped on with the man's heel, thereby crushing the corporal bodies and the urethra.
	www.webmd.com /content/article/3/1680_50133.htm?lastselectedguid= (785 words)

	Male external genitalia diseases - Images
		Penile lichen planus (Lichen planus of the penis [5])
		Penile mucoepidermoid carcinoma (Mucoepidermoid carcinoma of the penis [3])
		Penile verruciform xanthoma (Verruciform xanthoma of the penis [1])
	www.gfmer.ch /selected_images_v2/level2_disease.php?cat1=9&stype=d (183 words)

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