Friday, July 3, 2009

Penile Fracture is a cause of urethral strictures

Penile fracture is a cause of urethral strictures and is also a medical emergency. I cannot find any data for how common this type of urethral stricture is, or it's typical location in the urethra. And, are these urethral strictures more or less amenable to urethral dilation?

"The diagnosis of “penile fracture” describes the traumatic rupture of the tunica albuginea of an erect penis. Penile fractures typically occur when the engorged penile corpora are forced to buckle and literally “pop” under the pressure of a blunt sexual trauma. Patients typically describe immediate detumescence, severe pain, and swelling as a result of the injury. Prompt surgical exploration and corporal repair is the most efficacious therapy. Although a majority of cases can be diagnosed from the history and physical examination alone, radiographic studies, including retrograde urethrography and corporal cavernosography can aid in the diagnosis of unusual cases." - from

Rev Urol. 2004 Summer; 6(3): 114–120.

Current Treatment Options for Penile Fractures
Gregory S Jack, MD, Isla Garraway, MD, PhD, Richard Reznichek, MD, and Jacob Rajfer, MD
Division of Urology, Department of Surgery, Harbor-UCLA Medical Center, Los Angeles, CA


Key words: Penile fracture, Corpora rupture, Cavernosography, Urethrography, Trauma
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