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Case Report

Late Delayed Repair of Fractured Penis

From the Department of Clinical Surgical Sciences, The University of the West Indies, St Augustine, Trinidad, Trinidad and Tobago.

Correspondence to: Seetharaman Hariharan, Senior Lecturer, Department of Clinical Surgical Sciences, Faculty of Medical Sciences, The University of the West Indies, Eric Williams Medical Sciences Complex, Mount Hope, Trinidad, Trinidad and Tobago (e-mail: uwi.hariharan{at}gmail.com).

Abstract

Early surgery has been recommended by most authors for fractured penis. Because of gross swelling of the penis, early surgery might have to be performed with an extensive degloving incision of the penis to enable better exposure. We report a case in which the man presented late with deformity and pain. Simple repair at that stage provided a good result in this patient; hence, it might be possible to repair a fractured penis at a later stage without degloving the penis. Additionally, this presentation could probably explain the pathogenesis of the "rolling sign" described by us earlier.