Please click here to submit an online appointment request form. You can find the office contact information for each physician specializing in Penile Fracture by visiting their profile listed on the bottom of this webpage. You may alternatively request an appointment to see a physician via our online form at any time. Our phone staff are available to help you Monday-Friday, from 9AM-5PM (EST). To request an appointment, please call our office at (212) 746-5491. These imaging modalities are reserved for those cases where either the history or physical findings are not fully consistent with penile fracture, in an effort to spare the patient a visit to the operating room. This investigation has been replaced by MRI or penile ultrasound. Historically, cavernosography was used to identify the site of the tunica albuginea tear. Occasionally, if an aspect from the history or physical exam is not suggestive of a penile fracture, radiologic imaging may be obtained. The diagnosis of a penile fracture largely depends on the history and a focused physical exam. If a urethral injury is found, repair depends on the degree and extent of injury. If blood is present in the specimen, an X-ray of the urethra (retrograde urethrogram) should be performed to identify the site and degree of the urethral tear.
A urinalysis should be performed on this specimen. A directed genital physical exam should be performed with attempt to palpate a tunica albuginea defect. A sensitive but thorough history should be taken from the patient. Failure to repair the tunica albuginea rupture is associated with the development of delayed penile curvature and erectile dysfunction (ED). When the patient presents for evaluation it is essential that an urgent urologic consultation be sought. The hallmarks of this are the presence of blood in the urine (gross or microscopic) or the inability to pass urine. In extreme cases, a tear in the urethra (urine channel) can also occur. This is commonly referred to as an eggplant deformity of the penis. Profuse subcutaneous bleeding leading to the development of massive penile shaft and scrotal bruising and swelling can be associated with this event. If an instant loss of erection has not occurred, it is unlikely that a penile fracture has occurred. Oftentimes men will also admit to hearing an "audible pop". It is not unusual for the patient to delay (up to several days) presenting to his physician or emergency department. Men commonly complain of a bending force of the erect penis with associated pain and instantaneous loss of erection. Weill Cornell Medicine Urology – Lower Manhattan.Weill Cornell Medicine Urology - Queens.Weill Cornell Medicine Urology - Brooklyn.Urologic Oncology Research Laboratories.The Institute for Pediatric Urology Research Lab.Center for Male Reproductive Medicine and Microsurgery.Male Reproductive Medicine and Surgery Fellowship.Female Pelvic Medicine and Reconstructive Surgery Fellowship.Urinary Incontinence - Treatment Options.Urinary Incontinence - Symptoms & Evaluation.Painful Bladder Syndrome/Interstitial Cystitis.Pediatric Kidney Health (Laparoscopic Nephrectomy).Neurogenic Bladder - Symptoms & Evaluation.
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