Fracture penis with complete urethral disruption during intercourse.
Badar Murtaza1, Muhammad Akmal, Waqar Azim Niaz
1Armed Forces Institute of Urology, Rawalpindi, Pakistan. badar_murtaza@yahoo.com
Journal of Ayub Medical College, Abbottabad : JAMC
|October 9, 2010
Summary
A rare penile fracture with complete urethral disruption occurred during intercourse. Surgical repair of the corpora and urethra resulted in successful recovery of erectile and voiding functions.
Area of Science:
- Urology
- Trauma Surgery
- Male Reproductive Health
Background:
- Penile fracture is a rare but serious urological emergency.
- It typically results from blunt trauma during sexual intercourse.
- Complete urethral disruption is an uncommon but severe complication.
Observation:
- A 38-year-old male presented with a penile fracture and complete urethral disruption following sexual intercourse.
- Clinical presentation included a tense penile swelling, acute urinary retention, and a distended bladder.
- Emergency surgical exploration revealed tears in both corpus cavernosa and complete urethral disruption.
Findings:
- Surgical intervention involved evacuation of hematoma, repair of the corpora cavernosa, and primary urethral repair.
- The patient experienced a smooth postoperative recovery.
- Satisfactory erectile and voiding functions were achieved post-surgery.
Implications:
- This case highlights the importance of prompt surgical management for penile fractures with urethral injury.
- Successful surgical outcomes can be achieved even with severe injuries, preserving sexual and urinary function.
- Early diagnosis and intervention are crucial for optimal patient outcomes in penile trauma.
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