Urologie pro praxi 4/2022

Penile fracture associated with urethral injury

Penile fracture with associated urethral injury is a rare acute condition in urology. The diagnosis is mainly based on medical history, physical examination, retrograde urethrography (in the case of suspected urethral injury), and/or magnetic resonance imaging (MRI). When penile fracture with urethral injury has been demonstrated or if there is diagnostic doubt, surgical revision with suture of the tunica albuginea and urethra is indicated. Conservative treatment is not recommended because of the risk of complications (erectile dysfunction, penile curvature, urethral stricture).

Keywords: penile fracture, rupture of corpus cavernosum, urethral lesion, urethral injury, urethrorrhagia, retrograde urethrography.