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Patients, aged 33\u201353, presented with penile trauma primarily during sexual intercourse, exhibiting atypical symptoms sparing the penis but with significant perineal and scrotal bruising. Diagnosis was confirmed via penile magnetic resonance imaging (MRI), revealing fractures at the penile base. All patients underwent surgical repair through a midline perineal incision, with no long\u2010term complications reported. This series highlights the value of MRI for diagnosing atypical fractures and supports a perineal surgical approach for optimal exposure and repair in EPICC fractures.<\/jats:p>","DOI":"10.1155\/criu\/7921626","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T16:35:36Z","timestamp":1744648536000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perineal Incision for the Surgical Management of Extremely Proximal Internal Penile Fractures\u2014A Case Series and Review of Literature"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3435-6251","authenticated-orcid":false,"given":"Anas","family":"Khan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7959-4096","authenticated-orcid":false,"given":"Hester","family":"Lacey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Brittain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Coker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruairidh","family":"Crawford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2018.12.009"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/aja.aja_14_20"},{"key":"e_1_2_10_3_2","unstructured":"Uroweb - European Association of Urology EAU Guidelines on Urological Trauma - Urogenital Trauma Guidelines - Uroweb accessed September 2024 https:\/\/uroweb.org\/guidelines\/urological-trauma\/chapter\/urogenital-trauma-guidelines."},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14167"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67386-7"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/iju5.12232"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/2051415820983155"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2021.101870"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.29271\/jcpsp.2022.Supp0.SS89"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/482098"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18915"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/5706109"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.07.012"},{"key":"e_1_2_10_14_2","volume-title":"Ultrasound Training Recommendations for Medical and Surgical Specialties","author":"The Royal College of Radiologists","year":"2012"}],"container-title":["Case Reports in Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/criu\/7921626","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/criu\/7921626","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/criu\/7921626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:55:23Z","timestamp":1773773723000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/criu\/7921626"}},"subtitle":[],"editor":[{"given":"Salvatore","family":"Siracusano","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/criu\/7921626"],"URL":"https:\/\/doi.org\/10.1155\/criu\/7921626","archive":["Portico"],"relation":{},"ISSN":["2090-696X","2090-6978"],"issn-type":[{"value":"2090-696X","type":"print"},{"value":"2090-6978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7921626"}}