Immediate Repair for Laceration of the Tunica Albuginea of the Corpora Cavernosa and Penile Urethral Injury Caused by Blunt Trauma to the Flaccid Penis: A Case Report.

INTRODUCTION

Blunt trauma to the flaccid penis rarely causes laceration of the tunica albuginea of the corpora cavernosa.

CASE PRESENTATION: A 31-year-old male patient sustained blunt trauma to the flaccid penis during a basketball game, causing subcutaneous hematoma, hematuria, and urinary retention. Computed tomography demonstrated a laceration of the tunica albuginea of the corpora cavernosa. Immediate surgical exploration confirmed the laceration of the tunica albuginea and the partial disruption of the penile urethra. Both injuries were repaired, and a suprapubic catheter was inserted. On postoperative day 12, retrograde urethrography revealed no leakage; however, on postoperative day 24, leakage was observed at the injury site. The suprapubic catheter was maintained for 3 months. Final imaging confirmed urethral patency without leakage.

CONCLUSIONS

We report a rare case of blunt trauma to the flaccid penis. Immediate repair was successful, and the patient recovered without stricture, although a compressive mechanism caused delayed urethral leakage.