A case of penile fracture with complete urethral disruption during sexual intercourse: a case report

Jagodič, Klemen; Erklavec, Marko; Bizjak, Igor; Poteko, Sandi; Jagodič, Helena Korošec

doi:10.1186/1752-1947-1-14

Cited by 12 publications

(12 citation statements)

References 11 publications

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“…The combination of fracture penis and urethral rupture is rare and poses a problem of management and may worsen immediate and long-term prognosis. Reports on such group of patients are lacking and most of them are case studies [3][4][5][6][7][8][9][10]. Also, the long-term outcome of such patients is under-reported.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcome of Surgical Treatment of Penile Fracture Complicated by Urethral Rupture

El‐Assmy

El-Tholoth

Mohsen

et al. 2010

The Journal of Sexual Medicine

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Introduction The combination of lesions of the penile urethra and the corpus cavernosum is rare and is likely to worsen the immediate and long-term prognosis. Aim To assess the late effects of penile fractures complicated by urethral rupture treated by immediate surgical intervention. Methods Fourteen patients with concomitant urethral rupture were treated surgically at our center. Those patients were seen in the outpatient follow-up clinic and were re-evaluated. Main Outcome Measures Sexual Health Inventory for Men questionnaire, local examination, uroflowmetry and penile color Doppler ultrasound. Results The most common cause of penile fracture is sexual intercourse (50%). The site of tunical tear was in the proximal shaft of the penis in 3 patients (21%) and in the mid of the shaft in 11 patients (79%). Urethral injury was localized at the same level as the corpus cavernosum tear in all cases; and it was partial in 11 cases and complete in 3. Long-term follow-up (mean=90 months) was available for 12 patients; among whom there was no complications in 4 (33%), painful erection in 1 (8%), erectile dysfunction in 2 (17%), and palpable fibrous nodule in 5 (47%). All patients had a normal urinary flow except one who developed relative urethral narrowing that required regular dilatation for 1 month. Conclusions The urethral injury complicating penile fracture is often partial and localized at the level of the corpora cavenosa tear. Standard treatment consists of immediate surgical repair of both urethral and corporal ruptures with no harmful long-term sequelae on urethral and erectile function in most of patients.

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Section: Introductionmentioning

confidence: 99%

Long-Term Outcome of Surgical Treatment of Penile Fracture Complicated by Urethral Rupture

El‐Assmy

El-Tholoth

Mohsen

et al. 2010

The Journal of Sexual Medicine

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“…Tri‐tubular penile fracture with complete urethral and bilateral corpora rupture is a rare urological condition. So far only 61 cases have been reported in the literature over the last two decades, which have all occurred due to the erect penis sustaining high‐energy trauma during vaginal or anal sexual activity 1–8 . Notably, bilateral corpus injury is inevitably associated with urethral injury 8 .…”

Section: Discussionmentioning

confidence: 99%

“…All repairs should be leak tested with artificial erection by engorging the corpora. Indwelling catheter has been placed in all cases of penile fracture with urethral injury, which were left for a variable duration of 7 to 21 days 1,3–7,10 . There is currently no consensus on the use of medications to suppress erections 6 …”

Section: Discussionmentioning

confidence: 99%

Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa

2021

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Introduction Tri‐tubular penile fracture is a very rare subset of penile fractures, typically due to high‐energy trauma to the erect penis. Case presentation A 26‐year‐old healthy man presents with a triad of audible crack, immediate detumescence, and hematoma formation, following blunt trauma sustained during vaginal sexual intercourse. A diagnosis of penile fracture is made, with intraoperative finding of a complete traumatic transection of the urethra with total bilateral corpus cavernosa disruption. Both corpora cavernosa were repaired using 2/0 polydioxanone sutures, with the dartos fascia placed in between. The urethra was repaired with interrupted 5/0 polyglactin braided absorbable suture. At 5 weeks, patient reported normal erections and sexual activity with no physical or psychological issues. The literature on management was reviewed. Conclusion Current evidence of surgical management of tri‐tubular penile fractures remains predominantly expert opinion, due to difficulties of conducting prospective trials for a rare condition.

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“…[3] But it thins out during erection. In flaccid state it is up to 2.4 mm thick; during erection it becomes as thin as.25 mm to.5 mm.…”

Section: Discussionmentioning

confidence: 99%

“…An intacorporal pressure of 1500 mm hg or more can tear tunica albuginea. [2,3,4] Unilateral injury is common, bilateral injury occurs in 2% to 10% cases. [4,1] Urethral injury is rarer occurring in 9% to 20% cases.…”

Section: Discussionmentioning

confidence: 99%

Fracture Penis With Bilateral Corporeal Rupture and Completed Urethral Disruption: A Case Report

Datta¹,

Das²

2015

jemds

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A case of penile fracture with complete urethral disruption during sexual intercourse: a case report

Cited by 12 publications

References 11 publications

Long-Term Outcome of Surgical Treatment of Penile Fracture Complicated by Urethral Rupture

Long-Term Outcome of Surgical Treatment of Penile Fracture Complicated by Urethral Rupture

Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa

Fracture Penis With Bilateral Corporeal Rupture and Completed Urethral Disruption: A Case Report

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