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Volume 8, Issue 3 (May 2006) 8, 379–381; 10.1111/j.1745-7262.2006.00379.x
Isolated posterior urethral injury: an unusual complication and presentation following male coital trauma
Yu-Sheng Cheng, Johnny Shinn Nan Lin and Yung-Ming Lin
Department of Urology, National Cheng Kung University Medical College and Hospital, Tainan 704, Taiwan, China
Correspondence: Dr Yung-Ming Lin, Department of Urology, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan 704, Taiwan, China. Fax: +886-6-238-3678. E-mail: linym@mail.ncku.edu.tw
Received 18 July 2005; Accepted 13 December 2005
| Abstract |
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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
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