Abstract
Introduction: Penile fracture due to staddle injury is an underreported surgical emergency. Fall down in perinium can present with not only scrotum/perinium hematoma but can associated with more complicated injuries such as pelvis fracture, complex penile fracture with urethral injury, corpus cavernosal and spogiosium raptures. These findings lead to worse morbidity in the patient, especially in terms of sexual life and urinary symptoms. If such severe injuries are not properly managed, erectile dysfunction and urethral stricture can happen, leading to more complicated problems. Case Report: A 23-year-old male presented to the emergency department with complaints of scrotal swelling and pain for three hours due to fall from height on perinium. He had classic signs of a urethral injury and penile fracture. Conclusion: Penile fracture is not always spared injury and does not always occur during erection, but is sometimes associated with other injuries and in flaccid phase.
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