Isolated spongy urethral rupture from abrupt coital distractive force

Brian J. McArdle; Mark A. Wille; Courtney M P Hollowell

doi:10.3941/jrcr.v11i2.2907

Isolated spongy urethral rupture from abrupt coital distractive force

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

^*Corresponding author for this work

Urology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	23-27
Number of pages	5
Journal	Journal of radiology case reports
Volume	11
Issue number	2
DOIs	https://doi.org/10.3941/jrcr.v11i2.2907
State	Published - Feb 2017

Keywords

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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title = "Isolated spongy urethral rupture from abrupt coital distractive force",

abstract = "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.",

keywords = "Coital, Coitus Interruptus, Corpus Spongiosum, Distractive Force, Extravasation, Isolated Urethral Rupture, Pendulous Urethra, Penile Trauma, Retrograde Urethrography",

author = "McArdle, {Brian J.} and Wille, {Mark A.} and Hollowell, {Courtney M P}",

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AU - McArdle, Brian J.

AU - Wille, Mark A.

AU - Hollowell, Courtney M P

PY - 2017/2

Y1 - 2017/2

N2 - 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.

AB - 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.

KW - Coital

KW - Coitus Interruptus

KW - Corpus Spongiosum

KW - Distractive Force

KW - Extravasation

KW - Isolated Urethral Rupture

KW - Pendulous Urethra

KW - Penile Trauma

KW - Retrograde Urethrography

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Isolated spongy urethral rupture from abrupt coital distractive force

Abstract

Keywords

ASJC Scopus subject areas

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