Urethral pseudodiverticulum secondary to penile fracture and complete urethra dissection

Authors

  • Giovanni B. Di Pierro Dept. of “Scienze Ginecologico-Ostetriche e Scienze Urologiche”, “Sapienza” University, Rome, Italy
  • Luca Iannotta Dept. of “Scienze Ginecologico-Ostetriche e Scienze Urologiche”, “Sapienza” University, Rome, Italy
  • Michele Innocenzi Dept. of “Scienze Ginecologico-Ostetriche e Scienze Urologiche”, “Sapienza” University, Rome, Italy
  • Caterina Gulia Dept. of “Scienze Ginecologico-Ostetriche e Scienze Urologiche”, “Sapienza” University, Rome, Italy
  • Vincenzo Gentile Dept. of “Scienze Ginecologico-Ostetriche e Scienze Urologiche”, “Sapienza” University, Rome, Italy
  • Cristiano Cristini Dept. of “Scienze Ginecologico-Ostetriche e Scienze Urologiche”, “Sapienza” University, Rome, Italy

DOI:

https://doi.org/10.5489/cuaj.1209

Keywords:

penile fracture, surgical treatment, urethral dissection, urethral pseudodiverticulum, urethrocistography

Abstract

A 22-year-old man reported cracking sound and acute pain during sexual intercourse followed by rapid penile detumescence and ecchymosis. He experienced more pain because he could not urinate and had a palpably full bladder. Moreover, his urethra was bleeding. Physical examination revealed swollen, ecchymotic and deviated penis and penis ultrasonography showed an injury of the tunica albuginea and Buck’s fascia with an expanding hematoma. Suprapubic catheter was positioned. Surgical exploration revealed a tear of tunica albuginea of both corpora cavernosa and complete urethral dissection. End-to-end urethral anastomosis and suture of corpora cavernosa lesion were performed. Vescical catheter was mantained for 6 days and suprapubic catheter for 3 months to allow a complete urethral healing. A pseudo diverticulum was found atanastomosis level on the urethrocistography 1 month after surgery. It disappeared by allowing micturition via the suprapubic catheter. The patient presented regular urinary flow and physiological erections 30 days later. In our experience, prompt surgical repair preserved erectile function and keeping the suprapubic catheter protected the urethra; this was the correct management for repairing the urethral lesion.

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Published

2013-05-13

How to Cite

Di Pierro, G. B., Iannotta, L., Innocenzi, M., Gulia, C., Gentile, V., & Cristini, C. (2013). Urethral pseudodiverticulum secondary to penile fracture and complete urethra dissection. Canadian Urological Association Journal, 7(5-6), e347–50. https://doi.org/10.5489/cuaj.1209

Issue

Section

Case Report