Penile fracture in a child presenting at teaching hospital in South-Western Uganda: a case report

Introduction and importancePenile fracture refers to the traumatic rupture of tunica albuginea in an erect penis. It is relatively uncommon and represents a urological emergency once it happens, necessitating immediate surgical intervention to prevent long-term complications. This condition presents a surgical challenge in both diagnosis and treatment due to the few urology specialists in our setting. We present a case of penile fracture surgically managed in a resource-limited setting with an excellent outcome.Case presentationWe present a 15-year-old male admitted to our teaching hospital with a 12-h history of onset of pain, progressive swelling, and an audible pop sound that preceded turning in bed on an erect penis. He, however, denied a history of masturbation. A penile ultrasound scan was done, which confirmed a tear of Tunica albuginea. Penile exploration was done, which revealed a tear in tunica albuginea that was repaired successfully. The patient recovered well with no complications.Clinical discussionA penile fracture is a rare surgical emergency. Successful outcomes hinge on timely diagnosis, proficient surgical repair, and comprehensive postoperative care. A penile fracture is a clinical diagnosis in the hands of an experienced surgeon.ConclusionsFindings of this case report highlight the importance of raising awareness among health workers and the general public about this rare condition, and the treatment options available in our less resourced setting. Penile fracture due to turning in bed on an erect penis is a very rare condition; it is under reported due to the fear and shame associated with the condition.Even in resource-limited settings, a clinical diagnosis and a penile ultrasound scan are enough to make a diagnosis.Early presentation and timely operative management are always associated with good outcomes.