Work

Bleeding without fracture: Unmasking a penile arterial leak as a cause of urethrorrhagia

Year: 2026

Type: article

Abstract: Isolated urethrorrhagia during erection is rare and may suggest penile fracture or urethral rupture. We report a 39-year-old man using exogenous testosterone who presented with recurrent urethral bleeding during intercourse, without external trauma or urinary symptoms. Flexible urethroscopy showed a small focal mucosal defect, and dynamic penile MRI demonstrated a 4 mm periurethral hematoma with early arterial extravasation from a perforator branch of the left centro-cavernosal artery, without tunical rupture or pseudoaneurysm. Given clinical stability and spontaneous cessation of bleeding, conservative treatment was chosen, with good functional recovery and complete healing at 3 months.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103512

Authors: Chadi Bourimi, Hicham El Kentaoui, Mohamed Khannous, Pierre-Adrien Leroux, Mathieu Kubiak

Institutions: Mohammed V University, Centre Hospitalier Ibn Sina

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160