# Isolated Penile Fracture and Complete Urethral Injury After a Motorcycle Accident: A Case Report and Literature Review

## TL;DR

A 20-year-old man suffered a rare penile fracture and urethral injury after a motorcycle accident, emphasizing the need for prompt surgical treatment.

## Contribution

This case report adds to the limited literature on tri-tubular penile fractures associated with complete urethral injury following non-sexual trauma.

## Key findings

- The patient experienced rapid penile swelling, urethral bleeding, and excruciating pain after a motorcycle accident.
- Immediate surgical intervention led to satisfactory recovery of erectile and voiding functions at three months.
- The case underscores the importance of urgent surgical treatment and urethral evaluation to prevent complications.

## Abstract

Tri-tubular penile fracture (PF) is a rare urological subdivision of PFs commonly caused by a blow to the erect penis during sexual intercourse or aggressive manipulation. PF associated with complete urethral injury and bleeding is an extremely rare presentation.

This is a case report of a healthy 20-year-old male who presented to the emergency room after a motorcycle accident, experiencing rapid penile swelling and urethral bleeding. The accident happened while he was riding his motorcycle with a full erection. The patient reported a tearing sensation, immediate detumescence, and excruciating penile pain. A clinical diagnosis of PF was made, and the patient was immediately taken to the operating room for surgical intervention. At the three-month follow-up, the patient reported satisfactory erections and good voiding function. This case highlights the importance of immediate surgical intervention and urethral evaluation to avoid PF complications.