title: Delayed repair of a fractured penis: a new technique.
abstract: Fracture of the penis can be managed conservatively or surgically. Conservative management is associated with a high morbidity, and early surgical repair of the fracture is usually recommended in order to prevent complications. Because a fractured penis is swollen throughout its length, it is difficult to identify the fracture site accurately, so a degloving technique is usually used to locate and repair the torn corpus cavernosum; this can lead to further trauma and complications. In cases where extensive swelling makes accurate clinical localisation difficult, delaying the repair for 7-12 days facilitates easy identification and repair of the torn corpus cavernosum. We report three cases where treatment was delayed until the swelling had subsided, when a simple direct repair was successfully carried out.
authors.affiliation: Department of Surgery, General Hospital, Port-of-Spain, Trinidad, West Indies.
authors.forename: V
authors.initials: V
authors.lastname: Naraynsingh
authors.forename: M J
authors.initials: MJ
authors.lastname: Ramdass
authors.forename: D
authors.initials: D
authors.lastname: Thomas
authors.forename: D
authors.initials: D
authors.lastname: Maharaj
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D010410:Penile Erection; D010413:Penis / Q000293:injuries* / Q000601:surgery; D012421:Rupture / Q000601:surgery; D013537:Sutures; D013997:Time Factors; D016896:Treatment Outcome