Abstract
Penile fracture is an unusual condition of rupture of the albuginous tunic with the penis in an erect state. It generates significant social embarrassment and needs proper approach. This study aimed to report a case of fracture with subtotal lesion of the urethra surgically approached in Juiz de Fora-MG. MAFS, a 35-year-old black man, was admitted to the Emergency Room Hospital reporting that during sexual activity he heard a crackling sound, followed by blood jetting, loss of erection and local edema. He denied pain, paresthesias, organ deviation, associated symptoms, comorbidities, similar previous conditions and urogenital diseases. He underwent urgent surgical treatment, which confirmed the diagnosis. She evolved well and remained with bladder catheterization for fourteen days. Imaging methods were unnecessary in this case, but may aid in diagnosis when confounding aspects exist. Urgent surgical management was associated with good recovery. Complementary exams are believed to be unnecessary when unavailable, if resources are scarce and if anamnesis and physical examination are highly suggestive, since the diagnosis of penile fracture is essentially clinical and, in addition, surgical intervention in the treatment of this condition together with Urethral injury should be done early for restoration of urinary, erectile function and prevention of sequelae.