Isolated Spongy Urethral Rupture from Abrupt Coital Distractive Force

Authors

  • Brian J McArdle
  • Mark A Wille
  • Courtney MP Hollowell

DOI:

https://doi.org/10.3941/jrcr.v11i2.2907

Keywords:

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

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.

Author Biographies

Brian J McArdle

Resident of urology, Cook County Health and Hospital System.  

Educational backgroud:

Kansas City University of Medicine, DO

Rockhurst University, MBA

University of Notre Dame, BSc.

 

Mark A Wille

Director of Endourology and Stone Disease, Cook County Health and Hospital System.
Journal of Radiology Case Reports February 2017 issue - Cover page: Isolated Spongy Urethral Rupture from Abrupt Coital Distractive Force by Brian J McArdle et al.

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Published

2017-02-24

Issue

Vol. 11 No. 2 (2017)

Section

Genitourinary Radiology

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