A rare case report of tricorpora penile fracture associated with urethral disruption

Triple penile fracture: A rare case report and review of literature

“…Our case had retrograde urethrograme as it is cheap especially in resource-limited setting like ours and easy to perform. It is also accurate [4] , like in our case it confirmed presence of urethral disruption by demonstrating extravasation of contrast at the level of mid penile urethra.…”

“…In most cases, the presentation is pain, swelling of the penis preceded by a snap sound followed by rapid detumescence [2] , [4] , [10] . The diagnosis is usually clinical based on sign and symptoms [4] , [6] , [11] .…”

“…In most cases, the presentation is pain, swelling of the penis preceded by a snap sound followed by rapid detumescence [2] , [4] , [10] . The diagnosis is usually clinical based on sign and symptoms [4] , [6] , [11] . USS and MRI can be used to locate the site of injury or distinguish ruptured dorsal vein of the penis that mimics penile fracture [10] , [12] .…”

“…Surgical management of penile fracture has less prevalence of erectile dysfunction, penile curvature, urethrocutaneous fistula and pain compared to conservative management [4] , [5] , [6] . Timing of surgical intervention is also critical with surgery done as early <24 h having less postoperative complications including erectile dysfunction compared to delayed repair >24 h [4] , [5] , [6] Approaches of surgery includes sub coronal incision followed by penile degloving to expose the three corpora, longitudinal incision over the suspected injury site, ventral longitudinal incision [1] [5] [4] and Para penile incision [1] . Other approaches include median inguinal scrotal approach [1] .…”

“…The most common mechanism of penile fracture is abnormal bending of erect penile shaft during sexual intercourse or masturbation where the patient experiences an abnormal sound that is followed by sudden detumescence and swelling [2] , [3] . Penile fracture involving all three erectile bodies namely: two corpora cavernosa and one corpus spongiosum with associated urethral injury is rare [4] . Immediate surgical repair is the gold standard treatment for penile fracture [3] .…”