[Penile fracture with associated urethral rupture].
OBJECTIVE
We report two cases of penile fracture; one case with associated rupture of the corpus spongiosum and complete urethral section, and the other presenting a second cavernous fracture three years after a first episode.


METHODS
The first patient, 32-years-old, suffered the fracture of the right corpus cavernosum during intercourse three years after a first fracture requiring surgical repair. This time he also underwent surgery immediately to find and repair the lesion, with good functional outcome. The second patient, 29-years-old, suffered a transverse fracture at the bases of both corpora cavernosa associated with complete section of the urethra. He underwent emergency surgery to repair all lesions with good esthetic and functional results.


RESULTS
Traumatic lesions of the penis with fracture of the corpora cavernosa are rare and the association with urethral rupture is exceptional, as well as it is the possibility of second fracture years ofter a first episode.


CONCLUSIONS
Penile fracture is a rare reason for consultation in the emergency setting, which should be repaired immediately with evacuation of the hematoma, closure of the albuginea's lesion and repair of the urethral lesions when they appear. Results are better, avoiding mid and long-term complications.
Llarena Ibarguren
Roberto
R
Servicio de Urología, Hospital de Cruces, Osakidetza, Bilbao, Vizcaya, España. rllarena@euskalnet.net
Villafruela Mateos
Ainara
A
Azurmendi Arin
Igor
I
García Fernández
Jorge
J
Pertusa Peña
Carlos
C
D000328:Adult; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D012421:Rupture; D014521:Urethra / Q000293:injuries* / Q000601:surgery*