Fracture of the Penis: About a Case of Delay in Management at the Nianankoro Fomba Hospital in Segou-Mali
Fracture of the Penis: About a Case of Delay in Management at the Nianankoro Fomba Hospital in Segou-Mali作者机构：Urology Department Nianankoro Fomba Hospital Segou Mali General Surgery Department Nianankoro Fomba Hospital Ségou Mali Forensic and Occupational Medicine Department Nianankoro Fomba Hospital Ségou Mali Pediatrics Department Nianankoro Fomba Hospital Ségou Mali Cardiology Department Nianankoro Fomba Hospital Ségou Mali Ophthalmology Department Nianankoro Fomba Hospital Ségou Mali Internal Medicine Department Nianankoro Fomba Hospital Ségou Mali Obstetrics and Gynaecology Department Nianankoro Fomba Hospital Ségou Mali ENT Department Nianankoro Fomba Hospital Ségou Mali
出 版 物：《Open Journal of Urology》 (泌尿学期刊（英文）)
年 卷 期：2022年第12卷第2期
页 面：136-145页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Penis Fracture Corpora Cavernosa Albuginea Nianankoro Fomba Hospital
摘 要：Introduction: Fracture of the penis is a rare uro-andrological emergency defined as the rupture of the tunica albuginea of the erect penis most often during sexual intercourse. Surgical exploration and repair of the albuginea breach as soon as possible are the standard treatment. However, in our African context, early diagnosis and management are negatively influenced by the delay in consultation due to modesty. Our objective was to describe the clinical and therapeutic aspects of the fracture of the penis seen late in the African context and to compare it with the literature review. Presentation of the case: Our aim was to report our experience in the management of late-onset fracture of the penis, after more than 48 hours of evolution, by reporting the observation of a 54-year-old patient, who had a false coitus, treated in the urology department of the Nianankoro Fomba Hospital. The physical examination revealed a deformation of the penis following the formation of a large hematoma with a characteristic eggplant appearance. Therapeutically, a suture of the albuginea was performed with simple follow-up. Conclusion: This case study shows a delay in the management of this emergency due to the reluctance of the patient to be consulted as soon as possible for reasons of modesty. A delayed emergency surgical management was the only therapeutic alternative and the coronal incision with degloving was the only way to approach the voluminous hematoma related to the delay in management.
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