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Penile fracture with complete urethral rupture
1Department of General Surgery, Tan Tock Seng Hospital, Singapore. chin_tiong_heng@ttsh.com.sg
Asian Journal of Surgery
|May 7, 2003
Summary
A rare penile fracture with complete urethral rupture occurred during intercourse. Prompt diagnosis via retrograde urethrography and surgical repair led to a full recovery of erectile and voiding functions.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture, though rare, can involve significant urethral damage.
- Injuries typically result from blunt trauma, with sexual activity being a less common cause.
Observation:
- A 25-year-old male presented with penile fracture and complete urethral rupture post-coitus.
- Clinical signs included a tense ventral penile hematoma and painful voiding with urethral bleeding.
Findings:
- Retrograde urethrography confirmed complete urethral obstruction in the proximal third.
- Surgical exploration and repair of both the penile fracture and urethral rupture were successfully performed.
Implications:
- This case highlights the importance of retrograde urethrography in diagnosing urethral injuries associated with penile fractures.
- Successful surgical management can restore normal erectile and voiding functions, emphasizing timely intervention.