PMC9807332_01
(a) and (b) showed that the penis is grossly deformed with an apparent subcutaneous hematoma.
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Physical examination showed a swollen penis with an "eggplant" deformity caused by a hematoma on the distal ventral surface of the penis; he also had gross hematuria visible at the external urethral orifice (Fig. 1).
T2-weighted magnetic resonance imaging shows an injury of the ventral tunica albuginea of the corpus spongiosum. (a) axial image. (b) sagital image. Green arrows: hematoma; red arrows: rupture of the corpus spongiosum; black arrows: corpus spongiosum; Yellow dots: corpus cavernosum; white arrows: urethra.
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We ordered an immediate MRI; T2-weighted imaging revealed an isolated tear of the ventral tunica albuginea of the CS (Fig. 2).
The urinary catheter is visible through the damaged urethra.
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A 2-cm longitudinal injury of the tunica albuginea of the CS was visible, and the anterior urethra was ruptured; a 14-Fr urethral catheter was visible through the defect in the urethra (Fig. 3).
(a) Postoperative day 17: the penile hematoma and deformity are improved. (b) Cystoscopy 6 weeks after surgery reveals only mild edema. White arrow: the 4-0 polydioxanone suture.
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Cystoscopy showed no obvious urethral stenosis or injury except for residual edema (Fig. 4).