Penile Fracture Repair

Repair of a ruptured Corpora Cavernosa which may sometimes involve a repair of the urethra as well.

Classically seen in guys turning over onto an erect penis in their sleep.
Vigorous sex where the erect penis slips out and is re-inserted outside the desired orifice, causing a bend and snap in the corpora cavernosa with a loud snap sound signifying a tear of the CC.
Occurs at any age.
Sudden severe swelling of penis turning blue, looking like an eggplant.
Pain occurs at the time of incident.
This requires acute attention, therefore make your way to an emergency department as soon as possible.

This fixed under general anesthetic.
Supine position (on your back), sterile procedure.
An incision is done over the isolated spot.
The corpora is sutured with non-dissolving sutures.
Where the area is not seen on ultrasound, the foreskin is loosened under the glans with a circumferential incision and the whole penile skin is retracted to the base of the penis.
Occasionally a circumcision may result due to complications with this technique, yet foreskin preservation is attempted.
An indwelling catheter will be inserted until the swelling is better.
A dressing is then applied, which should be removed after 72 hours.

Any anesthetic has its risks, and the anesthetist will explain such risks.
Bleeding is a common complication.
A hematoma (blood collection under the skin) is present and will take some time to settle. Bruising is normal.
Sutures may tear loose with vigorous use of erect penis, and the procedure may then require revision.
An infection of the wound may occur and requires immediate attention.
Necrosis of the foreskin can occur in rare circumstances.
DANGER SIGNS: A wound that swells immediately, fever, and puss. Contact Dr Schoeman or the hospital immediately as this occurs in up to 15–20% of all cases.

Dressings should be kept dry for the initial 72 hours after surgery and soaked off in a bath thereafter.
The dressing may sometimes adhere to the wound causing slight bleeding on removal. Don’t panic, the bleeding will stop.
The catheter will be removed as soon as you are awake, or if there are concerns, the following morning.
Patients should schedule a follow-up appointment with Dr Schoeman 2 weeks after the procedure.
There will be signs of bruising for at least 10 days.
Refrain from using your erect penis for 6 weeks.
The suture-line will be hard and indurated for at least 8-10 weeks.
PLEASE CONTACT THE HOSPITAL DIRECTLY WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.

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Wes Penile Fracture Repair