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Case Reports
. 2021 Apr-Jun;11(2):31-34.
doi: 10.4103/jwas.jwas_18_22. Epub 2022 Jul 12.

Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report

Baje Salihu Makama  1 , Liman Haruna  1 , Yusuf Stephen  1 , Umar Aminu  1
Affiliations
Case Reports

Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report

Baje Salihu Makama et al. J West Afr Coll Surg. 2021 Apr-Jun.

Abstract

Penile fracture is a rare traumatic injury of an erect phallus involving mainly the tissues responsible for penile erection, corpora cavernosa, and penile sheath, which occur commonly, but not solely during vigorous sexual intercourse. Here, we present a 34-year-old man who presented with a 5-h history of snapping sound heard during sexual intercourse with subsequent loss of tumescence, swelling of the phallus, and assumption of abnormal contour, scrotal swelling, and lower anterior abdominal swelling. On examination, the patient was in severe painful distress with swelling around the external genitalia and lower abdomen and dorsolateral penile angulation with marked tenderness. The diagnosis of penile fracture was made; intraoperatively, there was a complete rupture of both corpora cavernosa and corpus spongiosum, complete disruption of the urethra, and buck's fascia tear causing haematoma and urine extravasation into the scrotum and anterior abdominal wall. The patient had haematoma evacuation, corpora repair, and urethroplasty done, did well, and has been on follow-up for 2 years with good erectile and voiding functions.

Keywords: Corporal repair; penile fracture; scrotal swelling; urethroplasty.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Eggplant deformity of the phallus
Figure 2
Figure 2
Complete rupture of the urethra
Figure 3
Figure 3
Haematoma collection at the site of penile fracture
Figure 4
Figure 4
The corpora rent after it was repaired
Figure 5
Figure 5
Urethral disruption demonstrated with Foley catheter in situ and after the urethra was repaired
Figure 6
Figure 6
The phallus after the surgery with urethral catheter in situ
See this image and copyright information in PMC

References

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