PMC5655839_01
Preoperative CT-scan showing Sachse's knife blades inside left corpus cavernosum, close to homolateral ischiopubic branch.
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Preoperative noncontrast CT-scan (Fig. 1) revealed a metal density foreign body of 17 mm diameter located at the base of corpus cavernosum, close to left ischiopubic branch, and combined retrograde and voiding urethrography showed complete resolution of urethral stricture.
Intraoperative urethral and left corpus cavernosum isolation.
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Left bulbospongiosus and ischiocavernosus muscles were medially incised and lateralized to expose Buck's fascia at the level of the urethral bulbous and proximal end of left corpus cavernosum; urethra and left corpus cavernosum were subsequently isolated (Fig. 2).
Sachse's blades removed.
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The blade discharge was fairly easy thanks to their shallow location (Fig. 3).