Penile Fracture with Bilateral Corpora Cavernosa Tear and Near-complete Urethral Injury Following a Motorbike Accident: A Case Report

Penile fracture is a blunt injury to an erected penis with a resultant rupture of the tunica albuginea of the corpus cavernosum. It is an uncommon injury most commonly sustained during sexual intercourse. Concomitant urethral injury is rare in penile fracture. Reported herein is the case of a 31-year-old man who was referred from a peripheral hospital with penile swelling, bleeding per urethra, and a urethra catheter in situ following a motorbike accident in which he was a passenger sliding his erect penis against the back of the rider. Surgical exploration was performed and a bilateral rupture of the corpora cavernosa with a near-complete urethral tear was seen. The injuries were repaired primarily. In follow-up, the patient reported satisfactory erectile function. This case highlights a new mechanism of penile fracture injury and the importance of surgical repair irrespective of the timing or severity of the penile fracture.