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CASE REPORT
Ventral midline approach to penile fracture with bilateral corporal injuries and complete urethral avulsion: a case report
Department of Urology, Northwestern University Feinberg School of Medicine, 676 N. St. Clair Street, Arkes 23, Chicago, IL 60611, USA
* Corresponding Author: Conor B. Driscoll. Email:
Canadian Journal of Urology 2025, 32(4), 345-348. https://doi.org/10.32604/cju.2025.063323
Received 11 January 2025; Accepted 23 April 2025; Issue published 29 August 2025
Abstract
Penile fracture is a rare clinical entity that occurs secondary to direct trauma to an erect penis, most commonly during sexual intercourse. Specifically, increased pressure within the corpus cavernosa results in rupture of the tunica albuginea. Occasionally, these injuries extend to the urethra and very rarely cause a complete urethral avulsion. Emergent exploration improves post-traumatic erectile function, penile curvature, and prevents painful erections. The traditional approach is a subcoronal circumcising incision to allow for adequate visualization. We present an uncircumcised male with bilateral corporal injuries and complete urethral avulsion who underwent a ventral midline approach for successful foreskin preservation.Keywords
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Copyright © 2025 The Author(s). Published by Tech Science Press.This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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