[VP-030]Penile fracture accompanied by complete urethral ruptureCevper Ersöz, Muhammed Tosun, Abdullah İlktaç, Senad Kalkan, Bayram Doğan, Muzaffer Akçay, Yunus Kayalı, Seyidali HamidliINTRODUCTION Penile fracture is the rupture of tunica albuginea of corpus cavernosum caused by blunt trauma in erected penis. Patients typically present with a cracking sound, sudden onset of pain, rapid loss of erection, swelling, ecchymosis and deviation in penis. Cavernosography, retrograde urethrography (RGU), magnetic resonance imaging (MRI) and cystourethrography can be performed preoperatively if needed. In Penile fracture, mostly unilateral rupture of corpus cavernosum occurs. Together with penile fracture, 20-30% concomitant rupture of corpus spongiosum and 10-20% concomitant partial or complete urethral rupture can be observed. MATERIAL-METHOD 42 years old male patient referred to our clinic with the complaints of a cracking sound during intercourse, sudden loss of erection and bloody discharge from urethra. He stated that he could not urinate after the incident. In physical examination there were penile edema, ecchymosis and deviation towards right. There was blood in external meatus. Retrograde urethrography showed extravasation in anterior urethra. Patient underwent emergency surgery. Penis was degloved 0,5cm below coronal sulcus. Complete rupture of urethra and ventrally a total rupture of 2 cm in both corpus cavernosum were observed. After removing the hematoma from ruptured area, tunica albuginea was repaired with 3/0 vicryl suture. 18f silicone foley catheter was placed in to the bladder and urethra was corrected by end to end anastomosis with 4/0 vicryl suture. After the urethral catheter was taken on postoperative 21st day, there was no difficulty in urinating. No complications were detected in the early postoperative period. In postoperative 3rd month control, patient stated that he had normal erection, he was able to have sexual intercourse and had no difficulty in urinating. CONCLUSION Penile fracture is rare urological emergency diagnosed by history and physical examination. If you are not sure about the diagnosis, cavernosography or MRI can be performed. Retrograde urethrography can be done if urethral injury is suspected. Successful results can be obtained with early surgical treatment |