Love hurts: Conservative management of a rare isolated urethral tear after intercourse

A 43-year-old man presented to the emergency department with bleeding from the urethral meatus following sexual intercourse. No penile swelling, hematoma, or detumescence was reported. The patient was able to void spontaneously. Flexible cystoscopy revealed an approximately 2 cm laceration at the 2 o’clock position of the anterior urethra, without evidence of corpus cavernosum involvement. A 16 Fr Foley catheter was inserted and kept for two weeks. Following catheter removal, the patient had normal urination and preserved erectile function. Conservative catheterization for partial anterior urethral injuries without corporal involvement remains a safe and effective management approach.