Isolated rupture of the corpus spongiosum with urethral injury diagnosed by pre-surgical MRI

IntroductionPenile fracture is typically defined as the rupture of the corpus cavernosum. Case presentationA 61-year-old man presented with swelling, pain, and bruising of his penis, along with gross hematuria. He reported that he sustained this injury while having sex with his wife. We suspected a...

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Published in:IJU case reports 2023, Vol.6 (1), p.70-72
Main Authors: Yokoyama, Shuhei, Tsuboi, Ichiro, Ogawa, Kohei, Yoshioka, Saori, Kobayasi, Yusuke, Nakajima, Hirochika, Nagami, Taichi, Yamasaki, Seigen, Wada, Koichiro
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container_title IJU case reports
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creator Yokoyama, Shuhei
Tsuboi, Ichiro
Ogawa, Kohei
Yoshioka, Saori
Kobayasi, Yusuke
Nakajima, Hirochika
Nagami, Taichi
Yamasaki, Seigen
Wada, Koichiro
description IntroductionPenile fracture is typically defined as the rupture of the corpus cavernosum. Case presentationA 61-year-old man presented with swelling, pain, and bruising of his penis, along with gross hematuria. He reported that he sustained this injury while having sex with his wife. We suspected a penile fracture and obtained magnetic resonance imaging, which showed a rupture of the ventral corpus spongiosum and clarified the appropriate approach for repair. We used a direct transverse incision to repair both the urethral injury and the corpus spongiosum. Surgery went well, without any significant intraoperative or postoperative complications. We removed the urinary catheter on postoperative day 8, and cystoscopy showed no urethral stenosis on postoperative day 17. The patient's postoperative erectile function was the same as before his injury. ConclusionMagnetic resonance imaging was useful for detect the site of rupture. Ventral direct transverce incision made him a good clinical course.
doi_str_mv 10.1002/iju5.12559
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Case presentationA 61-year-old man presented with swelling, pain, and bruising of his penis, along with gross hematuria. He reported that he sustained this injury while having sex with his wife. We suspected a penile fracture and obtained magnetic resonance imaging, which showed a rupture of the ventral corpus spongiosum and clarified the appropriate approach for repair. We used a direct transverse incision to repair both the urethral injury and the corpus spongiosum. Surgery went well, without any significant intraoperative or postoperative complications. We removed the urinary catheter on postoperative day 8, and cystoscopy showed no urethral stenosis on postoperative day 17. The patient's postoperative erectile function was the same as before his injury. ConclusionMagnetic resonance imaging was useful for detect the site of rupture. 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Case presentationA 61-year-old man presented with swelling, pain, and bruising of his penis, along with gross hematuria. He reported that he sustained this injury while having sex with his wife. We suspected a penile fracture and obtained magnetic resonance imaging, which showed a rupture of the ventral corpus spongiosum and clarified the appropriate approach for repair. We used a direct transverse incision to repair both the urethral injury and the corpus spongiosum. Surgery went well, without any significant intraoperative or postoperative complications. We removed the urinary catheter on postoperative day 8, and cystoscopy showed no urethral stenosis on postoperative day 17. The patient's postoperative erectile function was the same as before his injury. ConclusionMagnetic resonance imaging was useful for detect the site of rupture. 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Case presentationA 61-year-old man presented with swelling, pain, and bruising of his penis, along with gross hematuria. He reported that he sustained this injury while having sex with his wife. We suspected a penile fracture and obtained magnetic resonance imaging, which showed a rupture of the ventral corpus spongiosum and clarified the appropriate approach for repair. We used a direct transverse incision to repair both the urethral injury and the corpus spongiosum. Surgery went well, without any significant intraoperative or postoperative complications. We removed the urinary catheter on postoperative day 8, and cystoscopy showed no urethral stenosis on postoperative day 17. The patient's postoperative erectile function was the same as before his injury. ConclusionMagnetic resonance imaging was useful for detect the site of rupture. Ventral direct transverce incision made him a good clinical course.</abstract><doi>10.1002/iju5.12559</doi></addata></record>
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title Isolated rupture of the corpus spongiosum with urethral injury diagnosed by pre-surgical MRI
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