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Contralateral Fracture of the Penis with Concomitant Urethral Injury – Report of a Rare Case


S Sharma
M Suryavanshi
S Sharma
S Singh
A Seth
NP Gupta

Abstract

Penile refracture is a rare urological emergency, more so on the side contralateral to the previous fracture. A 55-year-old male was referred 70 hours after sudden detumescence during sexual intercourse, with a history of blood at the urethral meatus. The patient had had a fracture of the penis four years previously. Examination revealed ecchymosis and swelling of the proximal shaft and purulent discharge from a laceration in the penile skin over the proximal corpora. Ultrasonography revealed laceration of the right tunica albuginea and corpus cavernosum. Exploration revealed scar tissue at the site of the previous operation on the left side and a fresh laceration, 1cm in size, in the right corpus cavernosum in the mid shaft, and a urethral defect of 0.5 cm. The patient had normal erections post-operatively and no complications at 6 months followup. On literature review, anecdotal cases of contralateral refracture of the penis were found. High suspicion, prompt diagnosis and expedient surgical management are essential for a good outcome with minimal complications

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eISSN: 1110-5704