Penile fracture after nerve-sparing radical prostatectomy: Case report and review of literature

Q4 Medicine

IJU Case Reports Pub Date : 2025-02-10 DOI:10.1002/iju5.70004

Eri Fukagawa, Masayuki Sano, Masaki Shimbo, Fumiyasu Endo, Kazunori Hattori

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Abstract

Introduction

Penile fractures typically do not occur in patients unable to maintain an adequate erection. Erectile dysfunction is known as one of the major complications of radical prostatectomy, and no cases of postoperative penile fractures have been reported.

Case presentation

A 78-year-old male with a history of radical prostatectomy with bilateral nerve-sparing for prostate cancer 12 years ago presented with a penile injury sustained during erection. Clinical examination showed subcutaneous hemorrhage and swelling throughout the penis, and magnetic resonance imaging showed discontinuity of the tunica albuginea. Emergent repair identified and corrected a laceration on the right lateral corpus cavernosum. He reported no complications and could maintain an erection after the surgery.

Conclusion

This is the first reported case of penile fracture following radical prostatectomy, as well as the eldest case of penile fracture to date.

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保神经根治性前列腺切除术后阴茎骨折1例报告及文献复习

阴茎骨折通常不会发生在不能维持适当勃起的患者身上。勃起功能障碍被认为是根治性前列腺切除术的主要并发症之一，尚未报道术后阴茎骨折的病例。一例78岁男性，12年前因前列腺癌行根治性前列腺切除术并保留双侧神经，在勃起过程中出现阴茎损伤。临床检查显示阴茎皮下出血和肿胀，磁共振成像显示白膜不连续。紧急修复识别并纠正了右侧海绵体外侧的撕裂伤。据报道，他没有并发症，手术后还能保持勃起。结论这是首例根治性前列腺切除术后阴茎骨折的报道，也是迄今为止最年长的阴茎骨折病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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