Isolated corpus spongiosum injury after sexual intercourse

Arch Ital Urol Androl. 2019 Jan 17;90(4):295-296. doi: 10.4081/aiua.2018.4.295.

Abstract

Penile fractures are generally rare and underreported. The mechanism of injury is due to a rupture of the corpora cavernosa following blunt or sexual trauma to the penis when fully erect. Penile fractures usually present with a 'popping' sound with concomitant sudden swelling and ecchymosis of the penis followed by rapid detumescence. Urethral involvement occurs only in a small part of the cases. Isolated spongiosal injury after sexual intercourse is also extremely rare. The cardinal sign of urethral injury is blood at the meatus. A small laceration can be repaired by simple closure with absorbable sutures, while a complete rupture requires a more complex anastomotic repair. We report a case of a typically presenting penile fracture that was eventually proven to be an isolated corpus spongiosum injury, with no corpora cavernosa involvement.

Publication types

  • Case Reports

MeSH terms

  • Coitus
  • Humans
  • Male
  • Middle Aged
  • Penis / injuries*
  • Penis / surgery
  • Rupture
  • Urethra / injuries*
  • Urethra / surgery
  • Urologic Surgical Procedures, Male / methods*