Author(s)

Sory I. Kone^1*, B. Samake², M. Keita², T. B. Bagayoko³, A. Bah⁴, A. Kassogue⁴, A. Sanogo⁵, A. N. Coulialy⁶, M. Togo⁶, D. Coulibaly⁷, T. Traore⁸, A. Fofana⁹

¹Urology Department, Nianankoro Fomba Hospital, Segou, Mali,.
²General Surgery Department, Nianankoro Fomba Hospital, Ségou, Mali.
³Forensic and Occupational Medicine Department, Nianankoro Fomba Hospital, Ségou, Mali.
⁴Pediatrics Department, Nianankoro Fomba Hospital, Ségou, Mali.
⁵Cardiology Department, Nianankoro Fomba Hospital, Ségou, Mali.
⁶Ophthalmology Department, Nianankoro Fomba Hospital, Ségou, Mali.
⁷Internal Medicine Department, Nianankoro Fomba Hospital, Ségou, Mali.
⁸Obstetrics and Gynaecology Department, Nianankoro Fomba Hospital, Ségou, Mali.
⁹ENT Department, Nianankoro Fomba Hospital, Ségou, Mali.

Introduction: Fracture of the penis is a rare uro-andrological emergency defined as the rupture of the tunica albuginea of the erect penis most often during sexual intercourse. Surgical exploration and repair of the albuginea breach as soon as possible are the standard treatment. However, in our African context, early diagnosis and management are negatively influenced by the delay in consultation due to modesty. Our objective was to describe the clinical and therapeutic aspects of the fracture of the penis seen late in the African context and to compare it with the literature review. Presentation of the case: Our aim was to report our experience in the management of late-onset fracture of the penis, after more than 48 hours of evolution, by reporting the observation of a 54-year-old patient, who had a false coitus, treated in the urology department of the Nianankoro Fomba Hospital. The physical examination revealed a deformation of the penis following the formation of a large hematoma with a characteristic eggplant appearance. Therapeutically, a suture of the albuginea was performed with simple follow-up. Conclusion: This case study shows a delay in the management of this emergency due to the reluctance of the patient to be consulted as soon as possible for reasons of modesty. A delayed emergency surgical management was the only therapeutic alternative and the coronal incision with degloving was the only way to approach the voluminous hematoma related to the delay in management.

Penis, Fracture, Corpora Cavernosa, Albuginea, Nianankoro Fomba Hospital

Kone, S. , Samake, B. , Keita, M. , Bagayoko, T. , Bah, A. , Kassogue, A. , Sanogo, A. , Coulialy, A. , Togo, M. , Coulibaly, D. , Traore, T. and Fofana, A. (2022) Fracture of the Penis: About a Case of Delay in Management at the Nianankoro Fomba Hospital in Segou-Mali. Open Journal of Urology, 12, 136-145. doi: 10.4236/oju.2022.122014.