Isolated Rupture of Corpus Spongiosum Associated a Partial Rupture of the Urethra during a False Step of the Coitus: A Case Reported at the University Hospital Sanou Souro

• 作者: Abdoul Karim Paré Adama Ouattara Brahima Kirakoya Clotaire A. M. K. D. Yaméogo Dominique Bicaba Ida Aida Tankoano Rabiou Cissé Timothé Kambou Zakari Nikièma
• 来源期刊: 放射学期刊(英文)
• 学科: 医学
• 关键词: PENILE Fracture False STEPS of Coitus RUPTURE of CORPUS Spongiosum URETHRA Injury Ultrasound
• 年，卷（期）: 2017,（2）
• 页码范围: 143-149
• 页数: 7页
• 分类号: R73

摘要

Penile fracture is a rare urological emergency. It occurs mainly in young adults during sexual intercourse. In many instances, one of the corpora carvanosus is involved though bilateral injuries with or without corpus spongiosus involvement is not uncommon. However, isolated injury to corpus spongiosus is extremely rare. We report a case of isolated rupture of corpus spongiosum secondary to penile injury during coitus in a 43-year-old man that presented to University Hospital Souro Sanou of Bobo Dioulasso. He presented with history of persistence bleeding per urethra following penile injury during sexual intercourse. The Retrograde urethrography (RUG) showed a partial rupture of urethra, Moore type 3. Complementary penile ultrasound revealed extensive contusion of the urethra with circumferential hematoma and rupture of the distal 1/3 of the corpus spongiosus. He had gentle per urethral catheterization which was left for one month. Penile ultrasound sound done after removal of catheter showed residual injury and narrowing of the urethra.