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. 2011 Apr;5(2):E23-6.
doi: 10.5489/cuaj.10055.

Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

Nathan A Hoag  1 , Kiara Hennessey, Alan So
Affiliations

Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

Nathan A Hoag et al. Can Urol Assoc J. 2011 Apr.

Abstract

Penile fracture is a rare injury most commonly sustained during sexual intercourse. We report the case of a 35-year-old man who presented with bilateral rupture of the corpora cavernosa and complete disruption of the urethra. A review of the literature on penile fracture is also presented. Urgent surgical exploration was performed and the injuries repaired primarily. In follow-up, the patient reported satisfactory erectile function. This case highlights the importance of early surgical repair and evaluation for concomitant urethral injuries in cases of penile fracture.

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Figures

Fig. 1.
Fig. 1.
Penile fracture with blood at meatus and developing hematoma.
Fig. 2.
Fig. 2.
An intraoperative retrograde urethrogram was performed that demonstrated urethral disruption at the level of the penoscrotal junction.
Fig. 3.
Fig. 3.
Intraoperative photo demonstrating bilateral transverse rupture of the corpora cavernosa.
Fig. 4.
Fig. 4.
Intraoperative photo showing complete urethral disruption.
Fig. 5.
Fig. 5.
Photo showing primary reanastomosis of urethra.
Fig. 6.
Fig. 6.
Postoperative day 15: retrograde urethrogram demonstrating intact urethra.
See this image and copyright information in PMC

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