Repair of penile rupture through a high-scrotal midline raphe incision.
We report a case of penile rupture after a self-inflicted injury, which was repaired through a 4-cm midline raphe incision in the high-scrotal position. A single injury to the right lateral corpora cavernosum was identified and repaired. This incision allows for exposure of all three corporal bodies and results in excellent cosmesis. Creating artificial tumescence with intracorporal saline injection can be useful in identifying small or multiple sites of corporal injury. This may obviate the need for performing a routine degloving procedure, which results in unnecessary dissection, increased edema, and potential visible scarring of the penile skin.
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James Buchanan Brady Foundation, Department of Urology, The New York Hospital-Cornell Medical Center, New York 10021, USA.
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D000328:Adult; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D012421:Rupture; D012611:Scrotum; D013514:Surgical Procedures, Operative / Q000379:methods