Grand Journal of Urology
E-ISSN : 2757-7163

False Penile Fracture: Case Series and Literature Review
Deniz Noyan Ozlu1, Kamil Gokhan Seker2, Emre Sam3, Yusuf Arikan1, Joshgun Huseynov1, Yurdagul Cetin Seker4, Emel Sam5, Fatih Akkas3, Nadir Kalfazade1
1Department of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
2Department of Urology, Mus State Hospital, Mus, Turkey
3Department of Urology, University of Health Sciences, Regional Training and Research Hospital, Erzurum, Turkey
4Department of Emergency Medicine, Mus State Hospital, Mus, Turkey
5Department of Emergency Medicine, University of Health Sciences, Regional Training and Research Hospital, Erzurum, Turkey
DOI : 10.5222/GJU.2021.97269
Pages : 9-13
Objective: Penile fracture is one of the urological emergencies that require early surgical intervention. False penile fracture, on the other hand, is a condition that presents with similar clinical features and can be treated conservatively. In this study, in the light of the literature, it was aimed to present the clinical and operative results of 8 patients who were operated on with a prediagnosis of penile fracture and then diagnosed with a false penile fracture.

Material and Methods: Data of 8 patients who were diagnosed with a false penile fracture between January 2006 and September 2019 were retrospectively analyzed. Patients" demographic characteristics, preoperative, intraoperative and postoperative data were retrospectively analyzed.

Results: Mean age of the patients was 39.12 (28-54) years. The most common complaints were penile swelling and ecchymosis. The most common etiological factors were as follows: sexual intercourse in 6, masturbation in 1, and manual bending of the erect penis in 1 patient. All operations were performed by degloving the penis from the circumcision line. Superficial dorsal vein injury was detected in 6, and nonspecific dartos bleeding was detected in 2 patients. There were no intraoperative complications. Wound site infection developed in 1 patient postoperatively. No erectile dysfunction, penile curvature, and sensory disturbances were detected in any patient.

Conclusion: It is difficult to distinguish a false penile fracture from true penile fracture clinically or radiologically. False penile fracture can be treated conservatively without the need for surgery. Surgery should still be the first-line treatment option in suspected patients. Studies with larger patient series are needed on this subject.

Keywords : superficial dorsal penile vein, false penile fracture, penile fracture, tunika albugi
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