Turkish Journal of Physical Medicine and Rehabilitation 2013 , Vol 59 , Num 3
Penile Fracture in A Patient With Spinal Cord Injury: A Case Report
Ümüt Güzelküçük 1 ,İltekin Duman 2 ,Koray Erten 3 ,Bilge Yılmaz 4 ,Arif Kenan Tan 5
1 Gülhane Askeri Tıp Akademisi, Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
2 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, TSK Rehabilitasyon ve Bakım Merkezi, Ankara, Türkiye
3 Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Urology Clinic, Ankara, Turkey
4 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
5 GATA Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara
DOI : 10.4274/tftr.47235

Herein, we present a case of penile fracture (PF) in a patient with spinal cord injury (SCI). A 36-year-old male patient with T12 paraplegia ASIA-B fell during transfer from wheelchair to the bed. He had no complaint during the night. He observed swelling of the penis when he was doing clean intermittent catheterization in the morning. On physical examination, edema and ecchymosis were observed on the penis. Penil ultrasound revealed haematoma in the corpus cavernosum. The diagnosis of PF was established. Because the patient did not accept surgery, conservative treatment was performed. An indwelling catheter and Coban bandage were applied for 10 days. One month later, the appearance of the penis was normal. Patients with SCI might develop PF accidentally. Loss of sensation in SCI might cause delayed diagnosis of PF and increased complication risk. PF and its complications might further deteriorate the sexual or voiding problems that SCI patients already have. 

Keywords : Spinal cord injury, penile fracture, paraplegia, reflexogenic erectio