Penile fracture with complete urethral rupture.
We report a rare case of penile fracture with complete urethral rupture in a 25-year-old male who sustained the injury during sexual intercourse. He presented with a tense haematoma on the ventral aspect of the penile shaft, associated with per urethral bleeding. Despite the injury, he was able to void painfully. Retrograde urethrography revealed complete obstruction at the proximal third of the urethra. Exploration and repair of the penile fracture and urethra were performed. The patient made an uneventful recovery with good erectile and voiding function. This case illustrates the value of retrograde urethrography in assessing urethral injuries in patients with penile fracture.
Department of General Surgery, Tan Tock Seng Hospital, Singapore. chin_tiong_heng@ttsh.com.sg
Chin T
CT
Heng
Andrew J
AJ
Brooks
D000328:Adult; D006801:Humans; D022125:Lacerations / Q000601:surgery; D008297:Male; D010413:Penis / Q000293:injuries* / Q000601:surgery; D012421:Rupture; D014521:Urethra / Q000293:injuries* / Q000601:surgery