{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:04:03Z","timestamp":1781006643383,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":159,"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:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Penile fracture is a rare condition characterised by disruption of the tunica albuginea typically caused by blunt trauma to a tumescent penis. It is a urological emergency that requires prompt diagnosis with a view to urgent treatment. The current global consensus on management of penile fractures is urgent surgical exploration and repair of the tunical defect. This is recommended with a view to minimise the risk of long\u2010term functional outcomes, mostly relating to sexual dysfunction. However, the lack of high quality data on \u2018immediate\u2019 versus \u2018delayed\u2019 surgical repair groups in terms of long\u2010term outcomes means that the exact timing of surgical repair is still debatable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 50\u2010year\u2010old healthy sexually active male presented after a snapping sound during sexual intercourse 90\u2009minutes before, followed by detumescence and penile pain. A tunical breach in the left proximal penile shaft was diagnosed clinically and confirmed on emergency ultrasound. The patient tested positive for COVID\u201019 and, given the perioperative risk of morbidity and mortality, it was decided to delay surgical repair. 10 days after the injury, following a negative COVID\u201019 test, he successfully underwent circumferential degloving, circumcision and closure of the tunical defect. Upon review at 4 and 20 months post\u2010op, there was no scarring or penile curvature, and he was having normal painless erections and penetrative sexual intercourse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is a case of early presentation of penile fracture in a healthy sexually active male, where surgical repair was delayed by 10 days because of COVID\u201019 infection, with positive short and medium term outcomes. It reinforces the idea that penile fracture patients who present late should still be offered surgery and that delaying surgery to optimise a patient\u2032s condition may be an acceptable approach. However, more research is needed into timing of surgical repair and its effect on long\u2010term functional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/criu\/9751872","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T11:33:38Z","timestamp":1781004818000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Delayed Repair of a Penile Fracture due to COVID\u201019 Infection"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9571-8100","authenticated-orcid":false,"given":"Darren William","family":"Rodgers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3844-0146","authenticated-orcid":false,"given":"Keith","family":"Pace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1159\/000444884"},{"key":"e_1_2_10_2_2","volume-title":"EAU Guidelines on Urological Trauma","author":"Kitrey N. D.","year":"2016"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-019-0212-1"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.05.004"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14167"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/sxmrev\/qead041"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.4032"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2003.tb10520.x"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.00851.x"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.2713"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-021-01233-9"}],"container-title":["Case Reports in Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/criu\/9751872","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/criu\/9751872","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/criu\/9751872","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T11:33:39Z","timestamp":1781004819000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/criu\/9751872"}},"subtitle":[],"editor":[{"given":"Kalyani","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/criu\/9751872"],"URL":"https:\/\/doi.org\/10.1155\/criu\/9751872","archive":["Portico"],"relation":{},"ISSN":["2090-696X","2090-6978"],"issn-type":[{"value":"2090-696X","type":"print"},{"value":"2090-6978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-02-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9751872"}}