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Penile fracture is defined as blunt trauma resulting in a tear of tunica albuginea surrounding the corpus cavernosum and rapidly expanding hematoma during erection. Concomitant penile fracture with urethral rupture has been reported from 10% to 20% in all penile fracture cases. However, isolated urethral injury during sexual inter courseis extremely rare. In females, intercourse-related urethral injury might occur after rape, sexual abuse, Müllerian anomalies, or intraurethral intercourse. Among males, only 5 cases have been described in the literature. (4-6) We report a patient suffering from penile trauma during sexual intercourse and urethral rupture without penile fracture as demonstrated on surgical exploration.

Isolated Urethral Rupture Related to Sexual Intercourse in Male and Literature Review.