[Penile fracture with associated urethra lesion: case report and bibliographic review]
Patricio García Marchiñena1, Leandro Capiel, Diego Juarez
1Servicio de Urología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. patricio.garcia@hospitalitaliano.org.ar
Objective:
Penile fracture is a rare lesion that occurs almost exclusively during erection. This lesion may be associated with rupture of the urethra in 20-30% of the cases. We describe a case that has been treated at our institution and review the literature.
Methods:
A-42-year-old patient suffered fracture of penis, with urethral section, during sexual intercourse. The patient underwent surgical exploration, the lesions of the corporal bodies and urethra were identified. Both lesions were repaired.
Results:
patient's recovery was satisfactory without complications or esthetical or functional sequelae.
Conclusions:
Penile fracture with urethral section is an exceptional disease, the most frequent cause of which in occident is violent sexual activity. For diagnosis it is necessary in most cases a correct anamnesis and physical examination. Early surgical approach and closure of the albuginea's lesion and repair of the urethral lesion is the best way of treatment.
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