Management of a Penile Fracture With Concurrent Urethral Injury: A Case Report

A penile fracture is typically a urological emergency resulting from blunt trauma to the penis, particularly during sexual activity, and it is rarely associated with urethral injury. A 52-year-old male patient presented to our emergency department with complaints of penile swelling and bruising following sexual intercourse. Assessment of the patient indicated the presence of both penile fracture and anterior urethral injury, and simultaneous repairs were performed. End-to-end anastomosis urethroplasty was conducted utilizing a 4/0 polyglactin suture in a separate manner. The penile fracture line was subsequently repaired using a 3/0 polyglactin suture in a watertight manner, employing a separate suture technique. This case report study provides a detailed discussion of the patient's clinical management and treatment process, as well as a thorough examination of the existing current literature.