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Ultrasonography supports localization, while prompt surgical exploration and repair of the tunica albuginea and cavernosum is considered the gold standard. In resource-limited environments, a vertical incision can provide a less invasive yet effective approach. The case report describes emergency presentation, imaging findings, operative planning, and successful management in a rural setting.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/penile-fracture-an-emergency-managed-successfully-in-a-rural-setting-a-case-report/420673/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/penile-fracture-an-emergency-managed-successfully-in-a-rural-setting-a-case-report/420673.png","ImageObject",300,407,{"name":92,"@type":93},"Jiven","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How is penile fracture diagnosed in this case report?","Question",{"text":112,"@type":113},"Penile fracture is diagnosed clinically using history and examination, with ultrasonography to localize the injury and assess the defect and hematoma.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What surgical approach was chosen and why?",{"text":117,"@type":113},"A vertical incision just above the defect was used. The report notes it is less invasive and cosmetically better than a circumferential degloving incision, especially in a resource-limited setting.",{"name":119,"@type":110,"acceptedAnswer":120},"How was postoperative care managed to prevent complications?",{"text":121,"@type":113},"Postoperative antibiotics were prescribed based on local hospital guidelines to reduce infection risk. Diazepam was used to help prevent erection during healing, and supportive medications were given to reduce swelling.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},420673,1792169030,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","Clinical Case Reports  \nCASE REPORT  OPEN ACCESS   \nPenile Fracture; an Emergency Managed Successfully in A Rural Setting: A Case Report  \nSandeep Sapkota1 | Amisha Adhikari2  | Narayan Dulal3  \n1Department of Surgical Oncology, BP Koirala Memorial Cancer Hospital, Bharatpur, Nepal | 2Bulingtar Primary Health Care Center, Nawalparasi,  \nNepal | 3Department of Urology, Baratpur Hospital, Bharatpur, Nepal Correspondence: Amisha Adhikari ([adhikariamisha08@gmail.com](adhikariamisha08@gmail.com))  \nReceived: 24 August 2025 | Revised: 28 November 2025 | Accepted: 19 December 2025  \nKeywords: cavernosum | eggplant deformity | penile fracture | surgical repair | tunica albuginea  \n\n| ABSTRACT\u003Cbr>Penile fracture remains underreported in South Asia due to social taboos. It is primarily a clinical diagnosis, with ultrasonography aiding localization. Prompt surgical exploration and repair of the tunica albuginea and cavernosum are the gold standard. In resource-limited settings, a vertical incision offers a less invasive and effective approach. |  |\n| --- | --- |\n| 1 | Introduction | 2 | Case Presentation |\n| Penile fracture is an uncommon presentation, but demands | A 36-year-old, married male presented to emergency with the |\n| a prompt diagnosis and management. It is defined as the dis- | chief complaints of pain over the whole of the penile region for |\n| ruption of the tunica albuginea with rupture of the corpus cav- | 1 day. The pain was acute in onset and the patient was hesitant |\n| ernosum, typically occurring during vigorous sexual activity | to disclose the cause of the pain. After reassuring him that all |\n| or blunt trauma to the erect penis [1] . Penile fracture is a rare | the conversations we had will be highly confidential, he later re- |\n| entity. Careful history and examination can reveal the typical | vealed it to be due to pressing of erect penis against bed and there |\n| signs and symptoms of penile fracture which can help in early | was presence of a typical “popping” sound following which he |\n| diagnosis. However, embarrassment and social taboo cause | experienced pain and detumescence. On examination, penis was |\n| delay in seeking treatment which can lead to poor outcome | visibly swollen with a typical “eggplant deformity”. There was no |\n| [2] . Classically, the patient gives a history of hearing a crack- | evidence of blood in the urethral meatus which suggested that |\n| ing noise during sexual activity when the tunica ruptures, | the urethra was probably not injured. After history and exam- |\n| rapidly followed by pain, detumescence, and a substantial | ination, provisional diagnosis of penile fracture was made and |\n| subcutaneous hematoma leading to an “eggplant deformity.” | ultrasonogram (USG) of penis was done. On USG, breach in the |\n| Although it is diagnosed clinically, ultrasound and MRI will | tunica albuginea in the ventrolateral aspect of the right corpus |\n| help in the localization and assessment of the extent of injury. | cavernosum was found. There was a defect of 4.8 mm along with |\n| Surgical exploration and repair of the cavernosum and tunica | the surrounding echogenicity on USG. It was present 4 cm distal |\n| albuginea is the gold standard in the management of penile | to the base of the penis. There was limited focal heterogeneous |\n| fracture, thus minimizing the risk of erectile dysfunction in | collection indicating hematoma which measured 5 cc along with |\n| the future [3] . | the widespread edema of the penis. After marking the site of the |\n| This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.\u003Cbr>© 2026 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd. |  |\n\nClinical Case Reports, 2026; 14:e71793 1 of 4  \n[https://doi.org/10.1002/ccr3.71793](https://doi.org/10.1002/ccr3.71793)  \ndefect, he was planned for oper","cbCaie0Oa23AxGa0","https://ap.wps.com/l/cbCaie0Oa23AxGa0","pdf",826260,"English","# Introduction\n# Case Presentation\n## Imaging and Diagnosis\n## Operative Management\n## Postoperative Care and Outcome","[{\"question\":\"How is penile fracture diagnosed in this case report?\",\"answer\":\"Penile fracture is diagnosed clinically using history and examination, with ultrasonography to localize the injury and assess the defect and hematoma.\"},{\"question\":\"What surgical approach was chosen and why?\",\"answer\":\"A vertical incision just above the defect was used. The report notes it is less invasive and cosmetically better than a circumferential degloving incision, especially in a resource-limited setting.\"},{\"question\":\"How was postoperative care managed to prevent complications?\",\"answer\":\"Postoperative antibiotics were prescribed based on local hospital guidelines to reduce infection risk. Diazepam was used to help prevent erection during healing, and supportive medications were given to reduce swelling.\"}]","Penile Fracture - an Emergency Managed Successfully in A Rural Setting - A Case Report | PDF",1790621937]