Penile mass formation after neglected penile fracture: Surgical management with pericardial graft reinforcement

Abstract

Background: Penile fracture is defined as the rupture of the tunica albuginea of the corpora cavernosa while in an erect state, during mostly intercourse or masturbation. Diagnosis of such condition is mainly clinical, while on the other hand, seeking medical attention is often delayed, and treatment options depend upon the time of presentation.

Methods: This case report details a patient who developed a penile cystic fibro‐hematoma lesion, 2 months after a neglected penile fracture. After proper assessment including detailed history, physical exam and a penile doppler ultrasound, patient was elected for surgery.

Results: The patient underwent surgical removal of the mass, correction of the curvature, and reinforcement of the weakened tunica albuginea with a pericardium graft. Postoperative course was uneventful. At follow‐up, he reported normal erectile function with resolved penile curvature.

Conclusion: This highlights the importance of seeking prompt medical attention for suspected penile fractures to avoid potential long‐term complications.

Keywords

erectile function / penile curvature / penile fracture / penile mass / pericardial graft

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