Penile Fracture Repair

Anesthesia Implications

Position: Supine, arms extended
Time: 1-2 hours (average)
Blood Loss: Low (10-50 ml)
Post-op Pain: High (7-10)
Maintenance Paralytic: Yes

High post-operative pain (general considerations): Plan ahead to treat pain in the postoperative period. If not contraindicated, consider hydromorphone or other long-acting analgesics along with adjuncts such as Ofirmev and/or toradol. Where possible, give during the operative period to limit pain in the postoperative period. Where applicable, consider peripheral nerve blocks and/or epidural interventions.

During an erection the corpora cavernosa become engorged with blood. If the penis is forcefully bent while engorged with blood, a rupture may occur. This is what is referred to as a penile fracture.

The penis is degloved to find and stop the area of bleeding/rupture.