Bilateral fracture of corpora cavernosa with complete rupture of the anterior urethra: Case report and review of recent findings for surgical management

Abstract

Introduction: Penile fracture is a rare urological emergency associated in up to 30% of cases with injury to the anterior urethra. Recent data suggest that early surgical intervention is the best treatment strategy. This investigation describes a case of bilateral corpora cavernosa injury associated with complete rupture of the anterior urethra and presents current concepts about its management.Case presentation: 39-year-old man with bilateral corpora cavernosa injury and complete rupture of the anterior urethra, who received early surgical treatment with satisfactory early clinical outcomes. A literature review was made in PubMed and Embase, limiting the search to scientific articles published in the past 10 years using the MeSH terms “Penile diseases”, “Genital diseases, male”, “Wounds and injuries”. Some references were included given their clinical relevance. In this case, similar to international experiences, early surgical management of corpora cavernosa fractures allowed achieving adequate clinical outcomes in the patient.Conclusions: The diagnosis of penile fracture is based on clinical findings. Early surgical management should be considered as a therapy of choice. Conservative management has a higher complication rate versus early surgical management. The case described here had an adequate clinical evolution after 3 months of follow-up.

Uretroplastia término terminal y reconstrucción cavernosa temprana en ruptura bilateral de origen traumático

“…En el paciente no se pudo efectuar IIEF, ya que no había tenido relaciones sexuales durante el seguimiento. Castañeda et al (27) en un caso similar al del presente reporte, no encontraron complicaciones a 3 meses con reparación inmediata mediante incisión subcoronal de una fractura bilateral de cuerpos cavernosos con sección uretral completa; no obstante, no objetivizó el seguimiento con IIEF o IPSS.…”