Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with sudden onset of sharp, audible "popping" sound during sexual intercourse, followed by immediate detumescence, severe pain, and rapid development of penile hematoma and swelling. Denies history of prior trauma or urethral instrumentation.
Clinical Examination Findings
Physical examination reveals significant penile edema, ecchymosis, and "eggplant deformity" due to tunica albuginea rupture. Palpation identifies a discrete focal defect or tender point at the site of rupture. Urethral integrity assessed; no blood at the meatus. Testicular examination unremarkable.
Treatment Protocol
Immediate surgical exploration and primary repair of the tunica albuginea defect indicated. Pre-operative imaging (penile ultrasound/MRI) performed to localize the rupture. Post-operative management includes prophylactic antibiotics, analgesics, and avoidance of sexual activity for 6-8 weeks.