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Case Reports
. 2021 Mar;103(3):e88-e90.
doi: 10.1308/rcsann.2020.7042.

Penile fracture associated with complete urethra and bilateral corpora cavernosa transection

J Mathew  1 , K Parmar  1 , A Chandna  1 , S Kumar  1
Affiliations
Case Reports

Penile fracture associated with complete urethra and bilateral corpora cavernosa transection

J Mathew et al. Ann R Coll Surg Engl. 2021 Mar.

Abstract

Penile fracture is a rare urological emergency caused by blunt trauma to the erect penis. It occurs due to the forcible bending of the turgid erect penis against resistance leading to tunica albuginea tear. The rupture of tunica albuginea surrounding the corpora cavernosa leads to hematoma formation and classical 'aubergine' deformity. Timely intervention is essential to improve sexual function. Urethral injury may occur concomitantly in case of severe trauma. Blood at the meatus, inability to void and haematuria are distinctive features. We describe a case of 36-year-old man who presented to the emergency department with penile fracture during sexual intercourse associated with blood at the meatus and voiding difficulty. On surgical exploration, complete bilateral corpora cavernosa tear and penile urethral transection was noted. The patient was successfully managed with timely repair. This case highlights the need for suspicion of an associated urethral injury in patients of penile fracture with blood at the meatus.

Keywords: Blood at meatus; Early surgery; Penile fracture; Urethra.

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Figures

Figure 1
Figure 1
Deformed swollen penis with hematoma up to suprapubic region
Figure 2
Figure 2
(A) Intraoperative image showing bilateral corpora cavernosa transection (white arrow) and transection of penile urethra (black arrow) with Foley’s catheter inserted in distal urethra. (B) Intraoperative image showing two ends of urethra (black arrow) and corpora cavernosa transection (white arrow) and Foleys catheter passing through the proximal urethra
Figure 3
Figure 3
Intraoperative image showing completed suturing of corpora cavernosa (white arrow) and two ends of urethra being sutured (black arrows)
See this image and copyright information in PMC

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