Penile fracture with urethral rupture - case report

Radomska, Martyna, Handzlik, Iwona, Ostrowska, Magdalena, Ostrowski, Adam. Penile fracture with urethral rupture - case report. Journal of Education, Health and Sport. 2022;12(11):161-170. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.11.021

https://apcz.umk.pl/JEHS/article/view/39656

https://zenodo.org/record/7276975

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.

Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.

Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2022;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

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The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 30.08.2022. Revised: 20.10.2022. Accepted: 02.11.2022.

Penile fracture with urethral rupture - case report

1. Martyna Radomska: 0000-0002-1764-5441; martynardms@gmail.com
   Szpital Uniwersytecki nr 1 im. dr. Antoniego Jurasza w Bydgoszczy
2. Iwona Handzlik: 0000-0001-5592-4639; iwona.handzlik1@gmail.com

Szpital Uniwersytecki nr 1 im. dr. Antoniego Jurasza w Bydgoszczy

1. Magdalena Ostrowska: 0000-0003-3323-3516; ostrowskamd@gmail.com

Szpital Uniwersytecki nr 1 im. dr. Antoniego Jurasza w Bydgoszczy

1. Adam Ostrowski: 0000-0002-5057-3507; adostro@gmail.com

Szpital Uniwersytecki nr 1 im. dr. Antoniego Jurasza w Bydgoszczy

Abstract

Introduction

Penile fracture is a rupture of the tunica albuginea of the corpus cavernosum caused by an erect penis injury. It is noticed that hematomas always accompany penile fractures. We present a rare case of penile fracture between corpus cavernosus and urethra without hematoma formation.

Case Presentation:

A 41-year-old male patient presented to the emergency department due to a continuous flow of blood from his urethra, which started an hour earlier due to a penile injury during vigorous sexual intercourse. There was no audible 'snap' sound, but the incident was followed by severe pain and immediate loss of tumescence. His bleeding continued until surgery. No hematoma was observed – Figure 1. A urethrography was performed, and afterward, an experienced urologist inserted a catheter without encountering any resistance. The patient was diagnosed with rupturing the tunica albuginea of the corpus cavernosum and the urethra. No hematoma was found, and primary revision was performed. Urethra and tunica albuginea was sutured. After four weeks catheter was removed. The patient recovered with good uroflowmetry results and did not report erectile dysfunction.

Conclusions

Rapture of tunica albuginea to the urethra may cause severe bleeding without formation of the hematoma and "eggplant deformity." Therefore, early intervention is crucial to sustain erectile function and avoid urethral stricture.

Keywords:

penile fracture; urethral rupture; hematomas in penile ruptures; urology; injuries in urology