Problem
Background: Penile rupture is a rare urologic emergency. Objective of the study: Report the presence of phimosis and priapism in a patient with penile rupture and review of the literature. Material and methods (case report): The case of a patient with psoriatic arthritis managed with long-term anti-inflammatory analgesics who suddenly presents penile edema, hematoma, develops severe phimosis and priapism, denies pain and penile injury through sexual activity is presented. ; A dorsal incision of the penis is made and priapism is managed with an intracavernous vasoconstrictor. 10 days later circumcision is performed and a rupture of the penis is identified, which is repaired with vicryl 2 zeros.
• Results: The evolution of the patient is good, without pain or penile curvature with normal erections and sexual activity.
• Discussion: Penile rupture associated with priapism and severe phimosis in a patient with no history of sexual activity and no pain may confuse the diagnosis.
• Keywords: penile rupture, priapism, phimosis.
When evaluating this clinical case as a health professional:
i. What would be your recommendation in this situation and why? (Describe all the symptoms of the case first to offer your recommendations).
ii. Establishes at least two criteria in favor and two against about the procedure to which the patient (client) could be exposed.
iii. Discuss: How would you handle conflict between young adults in a harmonious way, but at the same time based strictly on scientific data?