{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:37Z","timestamp":1787762017305,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Penile fracture (PF) is defined as the rupture of the tunica albuginea (TA) of the corpora cavernosa (CC) caused by trauma to the erect penis. We present a case and clinical evolution of the delayed approach of PF. Physical examination showed a ventral rounded mass in the middle surface of the penile shaft, associated with mild discoloration and edema. Surgery was performed with a vertical penoscrotal incision. We found an encapsulated hematoma on the right ventral mid penile shaft connected at its base to an approximate 1 cm transverse defect on the TA and we performed debridement and excision of the hematoma. Tunical defect was repaired with PDS 3\/0 simple suture. The patient had a great postoperative evolution without local complications. The early diagnosis and surgical treatment reaches better functional results, with maintenance of erectile function in patients with penile fracture.<\/jats:p>","DOI":"10.4103\/ua.ua_103_20","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T06:26:19Z","timestamp":1689661579000},"page":"349-351","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Delayed approach of a penile fracture with encapsulated hematoma"],"prefix":"10.4103","volume":"15","author":[{"given":"Fernando Salles da Silva","family":"Filho","sequence":"first","affiliation":[{"name":"Department of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, Brazil"},{"name":"Department of Medicine, IDOMED University, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano A.","family":"Favorito","sequence":"additional","affiliation":[{"name":"Department of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, Brazil"},{"name":"Department of Medicine, IDOMED University, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo R.","family":"Vieiralves","sequence":"additional","affiliation":[{"name":"Department of Urology, Lagoa Federal Hospital, Rio de Janeiro, RJ, Brazil"},{"name":"Department of Medicine, IDOMED University, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Anacleto D.","family":"Rezende","sequence":"additional","affiliation":[{"name":"Department of Medicine, IDOMED University, Rio de Janeiro, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1038\/s41443-019-0212-1","article-title":"Surgical reconstruction for penile fracture:A systematic review","volume":"32","author":"Kominsky","year":"2019","journal-title":"Int J Impot Res"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.eururo.2004.07.028","article-title":"EAU guidelines on urological trauma","volume":"47","author":"Lynch","year":"2005","journal-title":"Eur Urol"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1590\/s1677-5538.ibju.2018.0124","article-title":"Penile refracture:A preliminary report","volume":"44","author":"Barros","year":"2018","journal-title":"Int Braz J Urol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1590\/s1677-5538.ibju.2019.0367","article-title":"Lessons learned after 20 years'experience with penile fracture","volume":"46","author":"Barros","year":"2020","journal-title":"Int Braz J Urol"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"768158","DOI":"10.1155\/2014\/768158","article-title":"Mechanisms predisposing penile fracture and long-term outcomes on erectile and voiding functions","volume":"2014","author":"Reis","year":"2014","journal-title":"Adv Urol"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1590\/S1677-55382003000100007","article-title":"Penile fracture - 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