Penile fracture and associated urethral injury: Experience at a tertiary care hospital

Authors

  • Amit Attam Department of urology, Institute of Medical sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
  • Arun Kerketta Department of urology, Institute of Medical sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
  • Bharat Behera Department of urology, Institute of Medical sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
  • Navin Ram Department of urology, Institute of Medical sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
  • Sameer Trivedi Department of urology, Institute of Medical sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
  • Shankar Dwivedi Udai Department of urology, Institute of Medical sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

DOI:

https://doi.org/10.5489/cuaj.475

Keywords:

penile fracture, urethral injury, methylene blue

Abstract

Introduction: Penile fracture may be associated with urethral trauma in 1% to 38% of cases. We present our experience in treating 8 such cases.

Methods: Data were collected retrospectively from hospital records and from out-patient department follow-up visits.

Results: The mean age of the patients was 30.4 years; trauma during coitus was the most common cause of the penile fracture. One patient presented after 7 days. Two patients had normal examination of their penis despite typical history. All fractures were repaired on an emergency basis via subcoronal incision. In 2 patients with normal findings, the urethra had to be mobilized to locate the site of the injury. In 1 patient, the site of the urethral trauma was 1 cm away from the site of the corporal injury, which was localized by injecting sterile methylene blue per urethra. Postoperatively, all patients voided with good flow and had erections with adequate rigidity.

Conclusion: A high level of suspicion for urethral injury during surgical exploration is warranted, especially in the presence of suggestive history and examination.

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Published

2013-03-21

How to Cite

Attam, A., Kerketta, A., Behera, B., Ram, N., Trivedi, S., & Udai, S. D. (2013). Penile fracture and associated urethral injury: Experience at a tertiary care hospital. Canadian Urological Association Journal, 7(3-4), E168–170. https://doi.org/10.5489/cuaj.475

Issue

Vol. 7 No. 3-4 (2013): CUAJ March

Section

Original Research

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