Penile fracture with rupture of both corpora cavernosa and complete urethral disruption: a case report
Mamadou Beye, Sidy Mohamed A. Fall, Mouhamet Thieyacine Ndiaye, Babacar Mbengue, Ndiaga SeneIntroduction and importance:
Penile fracture, defined as rupture of the tunica albuginea of the corpora cavernosa, is a rare urological emergency. The coexistence of bilateral corporal rupture and complete urethral disruption is exceptional.
Case presentation:
A 56-year-old man presented with sudden penile pain, a cracking sound, and immediate detumescence after a coital buckling injury. Examination revealed a hematoma extending from the penis to the pubic region, urethral bleeding, and a palpable, distended bladder. In the absence of emergency retrograde urethrography or flexible urethroscopy at our center, a deliberate decision was made to proceed directly to exploration, which confirmed bilateral corporal rupture with complete urethral disruption.
Clinical discussion:
Reconstruction was performed through a circumferential subcoronal degloving approach, with primary corporal repair and spatulated end-to-end urethroplasty over a catheter, broadly consistent with current EAU and AUA recommendations; the diagnostic work-up reflected local resource limitations.
Conclusion:
Early recognition and immediate surgical reconstruction allowed preservation of erectile and voiding function at a 1-year follow-up.