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Case Reports
. 2021 Feb;10(2):969-975.
doi: 10.21037/tau-20-1155.

Complete urethral injury in the penile fracture: a case report and literature review

Guangju Ge  1 , Huan Wang  1 , Yuanlei Chen  1 , Gonghui Li  1 , Liang Ma  1
Affiliations
Case Reports

Complete urethral injury in the penile fracture: a case report and literature review

Guangju Ge et al. Transl Androl Urol. 2021 Feb.

Abstract

Penile fracture is described as a traumatic rupture of the tunica albuginea caused by blunt injury to the erect penis. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture with urethral injury is an extremely rare condition. Although its diagnosis is usually clinical, ultrasound plays an important role in confirming diagnosis and identifying the site of the injury. Here, we presented a case of penile fracture with complete urethral injury. A 43-year-old male was admitted to the hospital because of trauma to the genital and dysuria following sexual intercourse. After admission, the patient was diagnosed with double penile fracture and complete urethral injury after the physical and B-ultrasound examinations. Emergency surgery to remove the hematoma and repair the urethra was performed. The patient recovered smoothly and was discharged on the third day after operation. After two months' follow-up, the patient urinated smoothly and achieved an adequate erection without other complications. In this case, consistent with previous studies, emergency surgery for penile fracture is necessary and can preserve the urethral function and sexual function. In addition, there are two lesions in tunica albuginea in this case, so careful search for the penile shaft during the surgery is important to avoid the missed injuries. This report provides evidence of an uncommon and underreported clinical case.

Keywords: Penile fracture; case report; emergency surgery; urethral injury.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tau-20-1155). The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
B-ultrasound showed that blood flow signals could be detected in the penile cavernous body, and irregular liquid dark areas with about 1.3 cm were detected behind the root of the penile cavernous body. The sound transmission was poor and fine light spots were visible.
Figure 2
Figure 2
The figure shows the penile fracture with complete urethral injury.
Figure 3
Figure 3
After 3 weeks, urethroscopy indicated that the mucous membrane of the urethra was smooth; no stenosis and no vegetation was seen.
Figure 4
Figure 4
The whole process of the case treatment.
See this image and copyright information in PMC

References

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