Isolated posterior urethral injury: an unusual complication and presentation following male coital trauma

Authors: Cheng, Yu-Sheng; Lin, Johnny Shinn Nan; Lin, Yung-Ming

Source: Asian Journal of Andrology, Volume 8, Number 3, May 2006 , pp. 379-381(3)

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Abstract:

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.

Keywords: coitus; trauma; hematuria; hematospermia

Document Type: Case report

DOI: http://dx.doi.org/10.1111/j.1745-7262.2006.00379.x

Affiliations: 1: Department of Urology, National Cheng Kung University Medical College and Hospital, Tainan 704, Taiwan, China

Publication date: 2006-05-01