I have read an interesting paper entitled “Traumatic rupture of the corpus cavernosum: surgical management and clinical outcomes…” prepared by Gómez Rivas et al. [1].The authors present their long–term experience of management of a traumatic rupture of the corpora cavernosa [1]. This condition is rare but serious and appropriate treatment is mandatory to prevent any serious consequences with the main treatment option being surgical. The authors emphasize the necessity of ruling out a urethral rupture. It is mandatory to rule out this complication, particularly in serious trauma. Prompt suturing of tunica albuginea and the urethral wall is necessary. It is the foundation of treatment without any alternative. Postponing treatment or opting for nonsurgical methods is incorrect and is correlated with a high–risk of erectile dysfunction or shape deformity of the penis. The authors present a relatively large cohort of patients with this rare disease and very effective surgical treatment, even with serious trauma of the penis combined with massive trauma of the cavernosal corpora or the urethra.
Authors: Juan Gómez Rivas; Jose Maria Alonso Dorrego; Mario Martín Hernández; Pamela Fontana Portella; Sonia Pérez González; Jose Antonio Moreno Valle; Jesús Javier de la Peña Barthel Journal: Cent European J Urol Date: 2014-04-17