Product Summary: AMA rates

Repair of a ruptured Corpora Cavernosa, may sometimes involve a repair of urethra as well. With/out penile local anaesthesia pain relief.

Item Number: 37408, 18262, 105

How does this occur?

  • Classically seen in guys turning over onto an erect penis in their sleep.
  • Vigorous sex where the erect penis slips out and is re-inserted outside the desired orifice, causing a bend in the Corpora Cavernosa with a snap sound signifying a tear of the CC.
  • Occurs at any age.
  • Sudden severe swelling of penis turning blue, looking like an eggplant.
  • Pain occurs at the time of incident.
  • This requires acute attention, therefore make your way to an Emergency department as soon as possible.

What to do?

  • Make your way to ED ASAP

How is it fixed?

  • This fixed under general anaesthetic.
  • Supine position ( on your back), sterile procedure.
  • An ultrasound is done to isolate the tear in the Corpora.
  • An incision is done over the isolated spot.
  • The corpora is sutured with non dissolving sutures.
  • The Foreskin is loosened proximal to the glans with a circumferential incision and the whole penile skin is retracted to the base of the penis when the fracture site can not be isolated.
  • Occassionally a circumcision may result due to complications with this technique, yet foreskin preservation is attempted.
  • A in catheter will be inserted until the swelling is better.
  • A dressing is then applied, which should be removed after 72 hours.

What to expect after the procedure?

  • Any anaesthetic has its risks and the anaesthetist will explain such risks.
  • Bleeding is a common complication.
  • A haematoma (blood collection under the skin) is present and will take some time to settle. Bruising is normal.
  • Sutures may tear loose with vigorous use of erect penis, and the procedure may then require revision.
  • An infection of the wound may occur and requires immediate attention.
  • Necrosis of the foreskin can occur in rare circumstances.
  • DANGER SIGNS: A wound that swells immediately, fever, and puss. Contact Dr Schoeman or the hospital immediately as this occurs in up to 15–20% of all cases.

What next?

  • Dressings should be kept dry for the initial 72 hours after surgery and soaked off in a bath thereafter.
  • The dressing may sometimes adhere to the wound causing slight bleeding on removal. Don’t panic, the bleeding will stop.
  • The catheter will be removed as soon as you are awake, or if there are concerns, the following morning.
  • On discharge, a prescription may be issued for patients to collect.
  • Patients should schedule a follow-up appointment with Dr Schoeman 2 weeks after the procedure.
  • There will be signs of bruising for at least 10 days.
  • Refrain from using your erect penis for 3-4 weeks.
  • The suture-line will be hard and indurated for at least 8-10 weeks.
  • Sick leave will be granted for 10 days.
  • Please direct all further queries to Dr Schoeman’s rooms.

Download Information Sheet

Penile Fracture Repair