Complete urethral rupture accompanying penile fracture: a case report

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dc.authoridTaskiran, Arda Taskin/0000-0003-4556-3475
dc.authoridSenoglu, Yusuf/0000-0002-3072-9252
dc.authoridBaba, Dursun/0000-0002-4779-6777;
dc.contributor.authorBaba, Dursun
dc.contributor.authorEkici, Necati
dc.contributor.authorTaskiran, Arda Taskin
dc.contributor.authorSenoglu, Yusuf
dc.contributor.authorBasaran, Ekrem
dc.contributor.authorBalik, Ahmet Yildirim
dc.date.accessioned2025-10-11T20:48:09Z
dc.date.available2025-10-11T20:48:09Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractIntroduction and importancePenile fracture is a rare urological emergency. It occurs due to the penis being subjected to force during intercourse or other causes. Treatment is usually surgical. Urethral injury accompanies 10-20% of cases. In this case, a complete urethral rupture accompanying a penile fracture is aimed to be presented.Presentation of caseA 45-year-old male patient presented to the emergency department with complaints of a snapping sound, pain, and sudden loss of erection during sexual intercourse. After a while, bleeding from the external meatus and inability to urinate were added to his complaints. Physical examination showed typical signs of penile fracture along with urethrorrhagia. The penile doppler ultrasound result was reported to be consistent with a penile fracture and uretral injury. Approximately one hour after presenting to the emergency department, the patient underwent surgery. Considering the possibility of urethral rupture, a urethroscopy was performed before fracture repair, revealing a urethral defect approximately 8 cm proximal to the external meatus. Surgical repair found a near-complete bilateral rupture of the corpus cavernosum and a complete urethral rupture. The urethral rupture and fracture area were repaired according to surgical procedure standards. No additional complaints or new pathologies were observed in the early postoperative follow-up. The patient was discharged with a catheter on postoperative day 3. On the 14th postoperative day, the patient's catheter was removed. At the 3-month follow-up, the patient had no urinary complaints, and the uroflowmetry test showed a Qmax of 35. No pathology was detected in the urethrography performed. At the one-year follow-up, the patient's International Index of Erectile Function (IIEF) score was 26, indicating no additional complaints.Clinical discussionComplete urethral rupture and bilateral corpus cavernosum rupture are rare urological emergencies, typically resulting from trauma applied to an erect penis. A physical examination, ultrasonography, and, when necessary, imaging techniques such as cystoscopy are the diagnostic modalities employed in such cases. Early surgical treatment has been shown to improve functional outcomes and reduce long-term complications.ConclusionEarly surgical intervention in the treatment of penile fractures not only preserves sexual function but also significantly reduces long-term complications. Urethral rupture should always be considered in fractures accompanied by urethrorrhagia and hematuria.en_US
dc.description.sponsorshipDuzce University School of Medicineen_US
dc.description.sponsorshipWe acknowledge the support and resources provided by Duzce University School of Medicine that facilitated the successful execution of this research.en_US
dc.identifier.doi10.1186/s12894-025-01726-6
dc.identifier.issn1471-2490
dc.identifier.issue1en_US
dc.identifier.pmid40050839en_US
dc.identifier.scopus2-s2.0-86000344411en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1186/s12894-025-01726-6
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21753
dc.identifier.volume25en_US
dc.identifier.wosWOS:001439274800002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectPenile fractureen_US
dc.subjectUrethral injuryen_US
dc.subjectUrethral bleedingen_US
dc.subjectCase reporten_US
dc.titleComplete urethral rupture accompanying penile fracture: a case reporten_US
dc.typeArticleen_US

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