UNCOMMON PRESENTATION OF URETHRAL INJURY- A RARE CASE

Background: Urethroplasty is the surgical repair of an injury or defect within the walls of the urethra. Trauma, iatrogenic injury and infections are the most common causes of urethral injury/defect requiring repair. Urethroplasty is regarded as the go treatment for urethral strictures and offers better outcomes in terms of recurrence rates than dilatations and urethrotomies. It is probably the only useful modality of treatment for long and complex strictures though recurrence rates are higher for this difficult treatment group. Case: 32 years old male came to surgery opd with complaint of swelling over base of penile shaft since 6 months associated with dribbling of urine since 6 months, painful erection, burning micturition since 1week Patient had history of trauma 6 months back during intercourse following which he had swelling over penis and transient hematuria. For which he went to a local doctor and took symptomatic treatment. The swelling and dribbling persisted but did not seek any medical attention. On clinical examination 3x2cm swelling over ventral aspect at the base of penis at penoscrotal junction with Skin over the swelling appears normal and on palpation swelling was non tender, no local rise in temperature, no redness, no discharge, non-translucent Bilateral testis palpable in scrotum On Ultrasonography swelling s/o partial tear of corpora spongiosum at the root of penis on ventral aspect communicating with urethra with approximately 15 cc collection with internal echoes in it f/s/o fracture penis. Patient underwent urethroplasty with local flap repair using buckÂ’s fascia. Conclusion: Urethroplasty with local flap repair using buckÂ’s fascia also be considered in treatment of urethral injury .