An Unusual Presentation of Penile Fracture: A Report of Two Cases

Abstract

Penile fracture is a rare condition that is easily identified by its classical clinical features. However, its features and course of the condition could be altered by the timing of presentation and the occurrence of complications. Delayed presentation is directly associated with delayed intervention with attendant poor clinical outcome. The occurrence of concomitant injuries like urethral rupture is associated with morbidities such as urethral stricture and urethra-cutanous fistula if not promptly and primarily repaired. We present two rare case reports of a delayed presentation of penile fracture and penile fracture with concomitant urethral injury. The patient in the first case report presented with localized right sided penile swelling and painful erection while the patient in the second case report presented with diffuse penile swelling, pain and urethral bleeding following trauma to the erect penis during intercourse. Both cases had immediate repair with good anatomical and functional outcome. This article highlights the invaluable role of primary repair in the management of penile fracture irrespective of the pattern of presentation.