
Isolated posterior urethral injury: an unusual complication and presentation following male coital trauma
Author(s) -
Cheng YuSheng,
Lin Johnny Shinn Nan,
Lin YungMing
Publication year - 2006
Publication title -
asian journal of andrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 74
eISSN - 1745-7262
pISSN - 1008-682X
DOI - 10.1111/j.1745-7262.2006.00379.x
Subject(s) - medicine , fulguration , penis , asymptomatic , urethra , complication , surgery , presentation (obstetrics)
We describe an unusual complication of coital trauma in a 29‐year‐old man who presented with a 3‐year history of hematospermia and post‐coital gross hematuria. Using urethroscopy under a semi‐tumescent penis, an isolated urethral injury with active bleeding was detected at the prostatic urethra. The patient was successfully treated with transurethral fulguration. We suggest that isolated posterior urethral injury is one of the causes of male coital trauma, which might be asymptomatic when the penis is flaccid but show symptomatic bleeding when the penis is erect.