Abstract

Erondu Okechukwu Felix, Ohuegbe Chyke Ihechikara, Okoro Chinedum Richards and Emmanuel Ehiwe

Penile fracture or male coital injury is a relatively uncommon condition. It is primarily the rupture of corpus cavernosum, with or without involvement of corpus spongiosum and the urethra. Using a case study approach, we present ultrasound findings of this rare and underreported urologic emergency suffered by a 32 year old male patient during copulation in a female dominant position. This is a case with the classical presentation of pain, detumescence, rapid penile swelling, right-sided deviation and isolated rupture of one corpus cavernosum with massive haematoma. The urethra and corpus spongiosum were spared. Ultrasound demonstrated the presence of isolated hematoma, integrity of the penile urethra as well as evidence of arterial compromise in this patient. Our study shows the importance of sonography as a readily available and non invasive modality in the management of this urologic emergency.