PMC6176287_01
Retrograde urethrogram showed significant extravasation of contrast from anterior penile urethra to surrounding soft tissue.
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fig1
Intraoperative finding of bilateral corpora cavernosa with complete urethral rupture.
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fig2
There were two large defects on the ventral aspect of both corpora cavernosa with complete rupture of the urethra at the mid penile shaft (Figure 2).
Closure of corpora cavernosa tears.
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fig3
Closure of the corpora cavernosa on both sides was done by use of 3/0 vicryl suture (Figure 3).
End to end urethral anastomosis over urethral catheter.
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fig4
Subsequently, end to end, mucosa to mucosa, and tension-free urethral anastomosis over the 16 F urethral catheter was done using 4/0 vicryl suture (Figure 4).
Pericatheter urethrogram showed urethral continuity with no extravasation.
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fig5
Patient was discharged next day and urethral catheter kept for 4 weeks after which a pericatheter urethrogram showed urethral continuity with no extravasation (Figure 5) and the patient passed urine freely after removal of the catheter.