Isolated spongy urethral rupture from abrupt coital distractive force

Brian J. McArdle*, Mark A. Wille, Courtney M P Hollowell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


The classic presentation of penile fracture is a cracking or snap sound, with sharp pain, immediate detumescence, swelling, deformation and ecchymosis. A penile fracture involves rupture of the tunica albuginea of one or both corpora cavernosa. Concomitant urethral rupture is reported to occur in 10% to 20% of penile fracture cases. Isolated urethral injury without penile fracture is extremely rare. We report the first case of isolated pendulous urethral rupture from an abrupt coital distractive force. We include a literature review and discussion of isolated urethral trauma secondary to sexual intercourse. Retrograde urethrography rendered a stunning clinical image which was integral to the diagnosis and management of this patient's injury.

Original languageEnglish (US)
Pages (from-to)23-27
Number of pages5
JournalJournal of radiology case reports
Issue number2
StatePublished - Feb 2017


  • Coital
  • Coitus Interruptus
  • Corpus Spongiosum
  • Distractive Force
  • Extravasation
  • Isolated Urethral Rupture
  • Pendulous Urethra
  • Penile Trauma
  • Retrograde Urethrography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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