Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_902_Библиотеки_им_академика_М_И_Перельмана

We have encountered an exceptional case in our practice that presented with sudden onset of bleeding per urethra and mild pain immediately after a sexual inter­course. The 38-year old patient did not have any obvious penile hematoma (Fig.38.1a) and there was no palpable defect on palpation. Based on the suspicious history, an ultrasonography was requested, revealing a defect on the ventral aspect of the right corpus cavernosum at the mid penile shaft (Fig.38.1b). On exploration, no hematoma was seen on either aspect (dorsally and ventrally) (Fig.38.1c, d). After mobilizing the urethra from the ventral aspect of the corpora, a 2-cm tear was noted at the dorsal urethra (UC: Urethral catheter) and another 2-cm tear was noted at the ventral aspect of the right corpus cavernosum (CT: Cavernosal tear) (Fig.38.1e). The absence of a noticeable hematoma in this case can be explained by the perfect apposition of the two tears (closely facing each other) allowing direct outside drainage of the blood from the corpus through the urethra.