Ventral midline approach to penile fracture with bilateral corporal injuries and complete urethral avulsion: a case report

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.