Alnadhari Ibrahim, Abdelhaleem Abdeljaleel Osama, Sampige Venkata Ramana Pai, Abdulmuhsin Ausama, Shamsodini Ahmad
Division of Urology, Surgery Department, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.
Case Rep Urol. 2018 Sep 25;2018:4929518. doi: 10.1155/2018/4929518. eCollection 2018.
Penile fracture is not uncommon blunt trauma to the penis. Here, we present a rare case of penile fracture during sexual intercourse. The patient presented with penile swelling, bleeding per urethra, and inability to pass urine. Retrograde urethrogram showed significant extravasation of contrast from anterior penile urethra and no contrast passing to proximal urethra. Surgical exploration showed complete urethral rupture and bilateral cavernosal rupture. This case represents the value of urethrogram to evaluate the urethral injury and the association of complete urethral injury with bilateral ventral cavernosal injury.
阴茎骨折是阴茎常见的钝性创伤。在此，我们报告一例性交过程中发生阴茎骨折的罕见病例。患者出现阴茎肿胀、尿道出血及排尿困难。逆行尿道造影显示阴茎前尿道有大量造影剂外渗，造影剂未进入近端尿道。手术探查显示尿道完全断裂及双侧海绵体破裂。该病例体现了尿道造影在评估尿道损伤中的价值，以及完全性尿道损伤与双侧海绵体腹侧损伤的相关性。
