Work

Perineal Incision for the Surgical Management of Extremely Proximal Internal Penile Fractures—A Case Series and Review of Literature

Year: 2025

Type: article

Abstract: This case series presents four cases of extreme proximal internal corpus cavernosum (EPICC) penile fractures. Patients, aged 33-53, presented with penile trauma primarily during sexual intercourse, exhibiting atypical symptoms sparing the penis but with significant perineal and scrotal bruising. Diagnosis was confirmed via penile magnetic resonance imaging (MRI), revealing fractures at the penile base. All patients underwent surgical repair through a midline perineal incision, with no long-term complications reported. This series highlights the value of MRI for diagnosing atypical fractures and supports a perineal surgical approach for optimal exposure and repair in EPICC fractures.

Source: Case Reports in Urology

DOI: 10.1155/criu/7921626

Authors: Anas Khan, Hester Lacey, James Brittain, Charles Coker, Ruairidh Crawford

Institutions: Princess Royal Hospital, University Hospitals Sussex NHS Foundation Trust, Brighton and Sussex Medical School, University of Sussex

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $790