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A penile fracture hidden behind a urethral bleeding
Pedro Francisco Fernandes1, Ana Marta Ferreira1, Paulo Azinhais1
1Department of Urology and Renal Transplantation, Centro Hospitalar e Universitário de Coimbra, Praceta Professor Mota Pinto, 3004-561, Coimbra, Portugal.
Urology Case Reports
|October 27, 2023
Summary
Penile fracture with urethral rupture is rare and often diagnosed clinically. This case highlights the need for advanced imaging in atypical presentations of blunt penile trauma.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture, a tear in the tunica albuginea, is uncommon.
- Urethral injury frequently accompanies penile fractures but diagnosis can be challenging.
- Clinical evaluation is the primary diagnostic tool, but atypical presentations necessitate further investigation.
Observation:
- A 45-year-old male presented with urethral bleeding following blunt penile trauma.
- The initial clinical presentation was atypical for a standard penile fracture.
- Complementary diagnostic examinations were required to ascertain the extent of injury.
Findings:
- The patient was diagnosed with a urethral rupture.
- A laceration of the corpus cavernosum was identified in addition to the urethral injury.
- This case underscores the complexity of diagnosing combined penile and urethral trauma.
Implications:
- Atypical penile trauma presentations warrant advanced diagnostic imaging.
- Accurate diagnosis of penile fractures with associated urethral injuries is crucial for appropriate surgical management.
- Understanding rare injury patterns improves clinical outcomes in penile trauma cases.
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