Ruptura de cuerpos cavernosos

Abstract

This degree work presents the study of Cavernous Bone Rupture not associated with rupture of the urethra and includes diagnosis, treatment and follow-up of the evaluation of a clinical case of the Provincial General Teaching Hospital of Riobamba: patient of 22 years, male, without presence of antecedents, who goes to the emergency service with pain, detumescence and presence of hematoma of the penis, having occurred a trauma 21 hours ago after an abrupt sexual relationship. In the physical examination generalized hematoma of the penis was observed in its ventral and dorsal portion, left lateral deviation, flaccidity and manipulation pain, added to the antecedents informed by the patient, a rupture of the corpora cavernosa was initially diagnosed, once the surgical intervention was performed, the final diagnosis was, rupture of the right cavernous body of approximately 1.5 cm in length and intact urethra. The patient is monitored during his hospital stay and subsequently by external consultation at 8, 30 and 90 days, to avoid possible complications, such as: erectile dysfunction, difficulty in urination, and presence of a curvature in the penis, confirming that the patient did not present any of these affectations. This is corroborated by the application of the International Index of Erectile Function (IIEF) concluding that the patient has a satisfactory recovery. As a review material, it was used publications of retrospective cases on the subject in specialized journals (Scielo, Pubmed, Elsevier, among others) that allowed to establish that the diagnosis of rupture of corpora cavernosa, is mainly clinical, based on the antecedents and the correct physical examination. It also deprives of importance the early surgical treatment that allows to restore the penis to its anatomical structure and proper functioning, reducing the presence of complications.