Rupture of the Deep Dorsal Vein of the Penis during Sexual Intercourse: About an Observation at the University Clinic of Urology-Andrology of the CNHU-HKM of Cotonou
Penile fracture is the most common injury to the penis. Rupture of the deep dorsal vein of the penis is rare and constitutes a false penile fracture. Its diagnosis is most often made intraoperatively in the absence of imaging. This article reports a case of rupture of the deep dorsal vein of the penis occurring during sexual intercourse, imitating penile fracture in a 42-year-old obese patient. He benefited from surgical exploration without prior imaging examination, given the emergency context. The postoperative course was simple, with the first satisfactory sexual intercourse at 2 months.
References
[1]
Muyshondt, C., Monforte, M. and Droupy, S. (2013) Traumatismes Sexuels. ProgrèsenUrologie, 23, 771-779. https://doi.org/10.1016/j.purol.2013.02.010
[2]
Karadeniz, T., Topsakal, M., Arýman, A., Erton, H. and Basak, D. (1996) Penile Fracture: Differential Diagnosis, Management and Outcome. British Journal of Urology, 77, 279-281. https://doi.org/10.1046/j.1464-410x.1996.86420.x
[3]
Turpin, F., Hoa, D., Faix, A., Filhastre, M., Mazet, N. and Rouanet de Vigne Lavit, J.P. (2008) IRM de la verge: Intérêt dans le bilan post-traumatique. Journal de Radiologie, 89, 303-310. https://doi.org/10.1016/s0221-0363(08)93004-3
[4]
Godec, C.J., Reiser, R. and Logush, A.Z. (1988) The Erect Penis—Injury Prone Organ. The Journal of Trauma: Injury, Infection, and Critical Care, 28, 124-126. https://doi.org/10.1097/00005373-198801000-00021
[5]
Bitsch, M., Kromann-Andersen, B., Schou, J. and Sjøntoft, E. (1990) The Elasticity and the Tensile Strength of Tunica Albuginea of the Corpora Cavernosa. Journal of Urology, 143, 642-645. https://doi.org/10.1016/s0022-5347(17)40047-4
[6]
Baran, C., Topsakal, M., Kavukcu, E. and Karadeniz, T. (2011) Superficial Dorsal Vein Rupture Imitating Penile Fracture. Korean Journal of Urology, 52, 293-294. https://doi.org/10.4111/kju.2011.52.4.293
[7]
Fergany, A.F., Angermeier, K.W. and Montague, D.K. (1996) Examen de l’expérience de la Cleveland Clinic en matière de fracture du pénis. Journal of Urology, 155, 1924-1927.
[8]
Zargooshi, J. (2000) Penile Fracture in Kermanshah, Iran: Report of 172 Cases. Journal of Urology, 164, 364-366. https://doi.org/10.1016/s0022-5347(05)67361-2
[9]
Kara, N., Journel Morel, N., Ruffion, A. and Terrier, J.-E. (2015) Management of Penile Fracture. ProgrèsenUrologie-FMC, 25, F73-F77. https://doi.org/10.1016/j.fpurol.2015.06.004
[10]
Sharma, G.R. (2005) Rupture of the Superficial Dorsal Vein of the Penis. International Journal of Urology, 12, 1071-1073. https://doi.org/10.1111/j.1442-2042.2005.01212.x
[11]
Feki, W., Derouiche, A., Belhaj, K., Ouni, A., Ben Mouelhi, S., Ben Slama, M.R., et al. (2007) False Penile Fracture: Report of 16 Cases. International Journal of Impotence Research, 19, 471-473. https://doi.org/10.1038/sj.ijir.3901574
[12]
Mostafa, H. (1967) Rupture of the Dorsal Artery of the Penis as a Result of Sexual Intercourse. Journal of Urology, 97, 314-314. https://doi.org/10.1016/s0022-5347(17)63033-7
[13]
Sharma, G.R. (2005) Rupture of the Superficial Dorsal Vein of the Penis. International Journal of Urology, 12, 1071-1073. https://doi.org/10.1111/j.1442-2042.2005.01212.x
[14]
Bar-Yosef, Y., Greenstein, A., Beri, A., Lidawi, G., Matzkin, H. and Chen, J. (2007) Dorsal Vein Injuries Observed during Penile Exploration for Suspected Penile Fracture. The Journal of Sexual Medicine, 4, 1142-1146. https://doi.org/10.1111/j.1743-6109.2006.00347.x
[15]
Woaye Hune, P., Artifoni, M., Connault, J. and Durant, C. (2016) La thrombose de Mondor pénienne: À propos de 2 cas et revue de la littérature. Journal des Maladies Vasculaires, 41, 146-147. https://doi.org/10.1016/j.jmv.2015.12.155
[16]
Juvénal, N., Gilles, N., Valimungighe Moïse, M., Moïse, V., Moussa, B., Ismaël, L., et al. (2021) Cas D’une Fausse Fracture De La Verge Par Rupture De La Veine Dorsale Profonde Au Centre Hospitalo-Universitaire Departemental-Oueme Plateau De Porto Novo, Benin. European Scientific Journal ESJ, 17, 50-57. https://doi.org/10.19044/esj.2021.v17n43p50
[17]
Coffin, G., Méria, P. and Desgrandcham, F. (2017) Traumatismes des organes génitaux externes. EMC, 8-13.
[18]
Alami, M., Janane, A., Ghadouane, M., Ameur, A. and Abbar, M. (2014) Prise en charge des ruptures traumatiques des corps caverneux au sein d’une population militaire. Pan African Medical Journal, 18, Article No. 260. https://doi.org/10.11604/pamj.2014.18.260.4732