A Double Tragedy of Coexisting Penile Fracture and Urethral Injury: A Case Report and Review of Literature.

Penile fracture coexisting with urethral injury is very rare. We present a 35-year-old businessman with complaints of penile pain and a popping sound during sexual intercourse. Examination revealed a deformed phallus consistent with eggplant deformity, blood at the tip of the meatus and suprapubic swelling. A diagnosis of penile fracture coexisting with urethral injury and acute urinary retention was made. Immediate surgical intervention revealed a 1.5 x 0.5cm ventral transection of the mid-bulbar urethral and the right corpus cavernosum. He subsequently had urine diversion via suprapubic cystostomy, repair of ruptured tunica albuginea covering the corpora and urethroplasty over a size 16-FR silicone urethral catheter. Patient did well postoperatively with normal urination two weeks postop following removal of urethral stent. Penile fracture coexisting with urethral injury is a rare but serious urological emergency. Prompt detection and surgical intervention are crucial for a successful outcome.