Penile Fracture Caused by Straddle Injury to a Nonerect Penis
John M Williams1, Jacob B Anderson1, Eric L Laborde1
1Department of Urology, Ochsner Clinic Foundation, New Orleans, LA.
Abstract:
We present the case of a 36-year-old male who sustained a straddle injury with classic signs of a urethral injury. He had blood at the meatus, a high-riding prostate, a butterfly hematoma, and he was unable to void. A retrograde urethrogram confirmed a bulbar urethral injury. After attempts at primary realignment with a Foley failed, he underwent suprapubic tube placement. However, when his physical examination worsened, an MRI revealed a concomitant injury to his left corpus cavernosum. This is the first reported case in the literature in which blunt trauma to a nonerect penis caused a penile fracture.
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