M 50 penile fx
Definition: tear in tunica albuginea, protective layer surrounding the corpus cavernosum and corpora cavernosa. Sometimes involves the corpus cavernosum
Signs and symptoms
Cause: Blunt trauma to the erect penis
Popping or cracking sound on impact
Extreme pain that may or may not persist
Immediate loss of erection
Bruising and edema
Blood in urine or penis tip
Diagnosis: Ultrasound, MRI, retrograde urethrogram (if suspect damage to urethra)
Treatment: Surgical repair of tunica albuginea
Potential complications
Curved penis + scar tissue
Fistulas
Erectile dysfunction
Painful erection
Urinary problems
Difficulty getting and keeping an erection
Surgery lowers risk of complications and increases likelihood of return of normal sexual and urinary function
Nursing Priorities
Acute pain: Post-surgical
Risk of complications: bleeding, wound dehiscence
Risk for impaired urinary function
Anxiety related to surgical procedure and outcome (self-esteem, poor quality of life)
2-3 days in hospital
Infection
follow-up to assess healing and blood vessels in penis
no intercourse for 1 month
90% good outcomes