Urology Case Reports · Published 2026-06-17 · DOI 10.1016/j.eucr.2026.103512
Chadi Bourimi, Hicham El Kentaoui, Mohamed Khannous, Pierre-Adrien Leroux, Mathieu Kubiak
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.
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Bourimi, C., Kentaoui, H., Khannous, M., et al. (2026). Bleeding without fracture: Unmasking a penile arterial leak as a cause of urethrorrhagia. Urology Case Reports. https://doi.org/10.1016/j.eucr.2026.103512