A case of traumatic penile fracture with simultaneous rupture of both corpora cavernosa and complete urethral transection

Abstract

Penile fracture is a rare injury to the penis caused by blunt trauma. The presence of urethral injuries sustained during fracture is less than 10%, but very few cases involve complete circumferential urethral transection. We present a case of a patient who presented with traumatic penile fracture involving bilateral corporal cavernosa injury and complete urethral transection.

Bilateral Corpus Cavernosum and Complete Urethral Rupture: A Double Trouble

“…Immediate surgical repair is the most chosen treatment modality and provides better outcomes and fewer complications than conservative management [ 8 ]. Postoperative complications, such as erectile dysfunction, penile plaques and nodules, chordee, and penile pain, are the main complications [ 4 ]. Conservative treatment may lead to an increased risk of complications [ 7 ].…”

“…Associated urethral injury rates vary from 8% to 23% [ 2 ]. A concomitant urethral injury should always be suspected if the presence of blood at meatus, microscopic or gross hematuria, and disorders of voiding are encountered [ 4 ]. However, these symptoms are not always present in all patients with urethral injury.…”

“…Urethral injuries should be treated according to the size of the injury. For partial injuries, urinary diversion or primary suturation of the rupture can be adequate [ 4 ]. However, for complete urethral transections, complex procedures such as tension-free anastomotic or augmentation urethroplasty are needed [ 2 ].…”

“…In some studies, 30% of the cases with PF who underwent urethral reconstruction have been found to be impaired in IPSS [ 12 , 13 ]. Urethral stricture, pseudoaneurysm, urethrocutaneous fistulas, and related subcutaneous abscesses may develop in the postoperative long term [ 4 ]. In our case, the patient did not have any early or late complications.…”

“…Besides PF symptoms like penile pain, a popping or cracking sound and rapid loss of erection, blood in the urethral meatus, hematuria, and urinary retention should be assessed as a sign of urethral injury [ 3 ]. Urgent surgical repair is recommended to prevent complications such as erectile dysfunction, penile curvature, and urethral stricture [ 4 ].…”