A rare case report of tricorpora penile fracture associated with urethral disruption

Gede Wirya Kusuma Duarsa, - and Muhlis Yusuf, - and Yudhistira Pradnyan Kloping, - and Ilham Akbar Rahman, - and Soetojo, - (2022) A rare case report of tricorpora penile fracture associated with urethral disruption. International Journal of Surgery Case Reports, 97. pp. 1-5. ISSN 22102612

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Official URL: https://www.sciencedirect.com/science/article/pii/...


Penile fracture is defined as a tear of tunica albuginea that covers the corpus cavernosum during an erection. It is a rare finding that both the corpora cavernosum and corpora spongiosum are involved in penile fracture. Herewith, we reported a rare case of 44 years old presented with penile fracture during woman on top sex position with both corpora cavernosum and corpus spongiosum rupture with urethral disruption. On clinical examination, the penis was swollen, and there was a sudden loss of erection and ecchymosis. Cystoscopy examination revealed urethral rupture. Emergent surgical repair was then performed. During emergency surgery, we found a defect of 3 cm in bicorporal cavernosa with urethral and corpus spongiosum disruption. The penis was degloved, and debridement with water-tight suturing of tunica albuginea was performed to repair the tear in corpora cavernosa. End-to-end anastomosis urethroplasty with spatulation was also performed to repair the urethra. After 21 days following surgery, erectile function was good and no difficulties in voiding function as shown in uroflowmetry result with Qmax >15 mL/s. The patient had a favorable recovery. This was a rare case report, and with early and prompt surgical intervention, this case could result in a good outcome in preserving erectile function and voiding function.

Item Type: Article
Uncontrolled Keywords: Penile fracture, Urethral disruption, Tricorpora rupture, End-to-end anastomosis urethroplasty, Penile degloving, Sexual health
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC870-923 Diseases of the genitourinary system. Urology
Divisions: 01. Fakultas Kedokteran > Urologi
Gede Wirya Kusuma Duarsa, -UNSPECIFIED
Muhlis Yusuf, -UNSPECIFIED
Yudhistira Pradnyan Kloping, -UNSPECIFIED
Ilham Akbar Rahman, -UNSPECIFIED
Soetojo, -NIDN0008065604
Depositing User: arys fk
Date Deposited: 29 Jan 2023 23:38
Last Modified: 29 Jan 2023 23:38
URI: http://repository.unair.ac.id/id/eprint/119749
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