Isolated rupture of the corpus spongiosum with urethral injury diagnosed by pre-surgical MRI

IJU Case Reports

article

Shuhei Yokoyama¹  Ichiro Tsuboi¹  Kohei Ogawa¹  Saori Yoshioka¹  Yusuke Kobayasi¹  Hirochika Nakajima¹  Taichi Nagami¹  Seigen Yamasaki²  Koichiro Wada¹ 

[1] Department of Urology, Faculty of Medicine, Shimane University;Department of Urology, Kyushu Rosai Hospital

关键词: corpus spongiosum;    direct incision;    MRI;    penile fracture;   

DOI  :  10.1002/iju5.12559

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

IntroductionPenile fracture is typically defined as the rupture of the corpus cavernosum. Case presentationA 61-year-old man presented with swelling, pain, and bruising of his penis, along with gross hematuria. He reported that he sustained this injury while having sex with his wife. We suspected a penile fracture and obtained magnetic resonance imaging, which showed a rupture of the ventral corpus spongiosum and clarified the appropriate approach for repair. We used a direct transverse incision to repair both the urethral injury and the corpus spongiosum. Surgery went well, without any significant intraoperative or postoperative complications. We removed the urinary catheter on postoperative day 8, and cystoscopy showed no urethral stenosis on postoperative day 17. The patient's postoperative erectile function was the same as before his injury. ConclusionMagnetic resonance imaging was useful for detect the site of rupture. Ventral direct transverce incision made him a good clinical course.

【 授权许可】

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