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Lower Urinary Tract Trauma
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====== History and Physical Exam ====== * '''<span style="color:#ff0000">History</span>''' ** '''<span style="color:#ff0000">Indicators of penile fracture</span>''' **# '''<span style="color:#ff0000">Penile ecchymosis or swelling</span>''' **# '''<span style="color:#ff0000">Cracking, popping, or snapping sound during intercourse or manipulation and immediate detumescence.</span>''' * '''<span style="color:#ff0000">Physical exam</span>''' ** '''<span style="color:#ff0000">Penis</span>''' ***'''<span style="color:#ff0000">Swollen</span>''' ***'''<span style="color:#ff0000">Ecchymotic</span>''' ****'''<span style="color:#ff0000">If Buck fascia remains intact, the penile hematoma remains contained between the skin and tunica, resulting in a typical “eggplant deformity.”</span>''' **** '''<span style="color:#ff0000">If Buck fascia is disrupted, the hematoma can extend to the scrotum, perineum, and suprapubic regions (see above “butterfly hematoma”).</span>''' ***'''<span style="color:#ff0000">Fracture line in the tunica albuginea may be palpable</span>''' ***'''<span style="color:#ff0000">Deviates to the side opposite the tunical tear</span> because of hematoma and mass effect'''
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