TY - JOUR AU - Di Pierro, Giovanni B. AU - Iannotta, Luca AU - Innocenzi, Michele AU - Gulia, Caterina AU - Gentile, Vincenzo AU - Cristini, Cristiano PY - 2013/05/13 Y2 - 2024/03/28 TI - Urethral pseudodiverticulum secondary to penile fracture and complete urethra dissection JF - Canadian Urological Association Journal JA - CUAJ VL - 7 IS - 5-6 SE - Case Report DO - 10.5489/cuaj.1209 UR - https://cuaj.ca/index.php/journal/article/view/1209 SP - e347-50 AB - <p>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.</p> ER -