PENILE FRACTURE WITH DISRUPTION OF BOTH CAVERNOSAL BODIES AND COMPLETE URETHRAL RUPTURE IN A 15-YEARS-OLD MALE: DELAYED SURGICAL APPROACH

Abstract

Carolina Talini, Leticia Alves Antunes, Bruna Cecilia de Carvalho, Mariah Zanetti Mello, Mathias Augusto Ramos de Lima, Licelia Braga, Ayrton Alves Aranha Junior

Penile fracture is defined as the traumatic rupture of the tunica albuginea of the corpus cavernosa usually associated to trauma during sexual intercourse or masturbation. Historically penile fracture has been managed conservatively, but contemporary management includes early surgical exploration. The case presents a 15-year-old male who suffered a blunt penile trauma and was first managed with cystostomy and no penile exploration. Five months after trauma was submitted to definitive surgical correction of both, urethral rupture and bilateral corporal fracture. The proposed surgical techinique was a diamond-shape corpora anastomosis. Surgery did well and after 3 years he presented no late complications.