Fracture of the penis associated with complete rupture of the urethra: Clinical evaluation and management

Abstract

Fracture of the penis associated with urethral rupture remains one of the rare urogenital emergencies. The diagnosis is mainly clinical in typical cases, based on the data from the interview and physical examination, while imaging is reserved for atypical, doubtful and/or late-presenting cases. Early surgical management is essential, allowing for assessment and repair of the lesions (cavernoraphy, urethroplasty) in order to ensure a good functional outcome. We report the importance of preoperative clinical evaluation of the genitourinary organs in the diagnosis of bilateral fracture of the cavernous bodies associated with complete urethral rupture, which occurred after a coital misstep in a young adult male after intoxication with aphrodisiac substances.Introduction: Fracture of the penis remains one of the urogenital emergencies, whose frequency is still underestimated today (1, 2). It corresponds to the rupture of the tunica albuginea of one of the corpora cavernosa and/or the corpus spongiosum, in a state of erection. Of various etiologies, penile fracture most often occurs during a "misstep" of intercourse, with consequences for sexual and urinary function. The diagnosis is based on data from the interview and physical examination, while imaging is reserved for atypical, doubtful and/or late-presenting cases. Management is primarily surgical (9).The purpose of this article is to present the importance of preoperative clinical evaluation in the diagnosis of bilateral fracture of the cavernous bodies associated with complete urethral rupture, which occurred after a coital misstep following the use of traditional aphrodisiacs, and to discuss through a literature review.