{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T11:09:19Z","timestamp":1788865759448,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":250,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Urology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Penile fracture is a rare urological emergency resulting from rupture of the tunica albuginea during blunt trauma to an erect penis, typically during sexual intercourse. While immediate surgical repair is associated with superior outcomes compared with conservative management, delayed treatment can lead to significant long\u2010term complications including penile curvature in 30% of cases and erectile dysfunction in 50%\u201362% of cases. We present the case of a 22\u2010year\u2010old patient who sustained a penile fracture while manipulating his erect penis. Clinical examination revealed penile swelling, bruising, and a 60\u00b0 leftward curvature. Intraoperative ultrasound (IO\u2010USG) with a linear probe precisely localized a tunica albuginea defect in the right corpus cavernosum, enabling a minimally invasive 1.5\u2010cm transverse incision directly over the fracture site. This approach avoided complete penile degloving, reduced operative time and blood loss, and facilitated complete clot evacuation and defect closure using interrupted 3\u20100 PDS sutures. Postoperative recovery was uneventful, with the patient discharged the following day and reporting normal erectile function and no penile deformity at the 3\u2010month follow\u2010up. A literature review confirms that while preoperative imaging is commonly utilized for surgical planning, IO\u2010USG guidance for real\u2010time fracture localization and incision placement remains rarely reported. Although MRI and CT offer superior soft tissue resolution, they are limited by availability, time constraints, and radiation exposure. IO\u2010USG is readily accessible and noninvasive; although operator\u2010dependent, it provides high\u2010resolution real\u2010time guidance that enables smaller incisions, minimizes postoperative complications such as glans numbness, and optimizes functional outcomes. We conclude that IO\u2010USG\u2013guided repair of penile fracture facilitates rapid identification of the injury site, accurate assessment of hematoma burden, and targeted surgical approach that avoids penile degloving while ensuring complete repair.<\/jats:p>","DOI":"10.1155\/criu\/3418235","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:25:41Z","timestamp":1788863141000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative Ultrasound\u2010Guided Repair of Penile Fracture: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9343-6277","authenticated-orcid":false,"given":"Hoi-Lung","family":"Wong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3286-978X","authenticated-orcid":false,"given":"Omar 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