The total area of the corpora cavernosa and corpus spongiosum
, the TS group had higher averages than did the OS group.
In further attempts to catheterize the patients, using 20 cc of anesthetic jelly injected through the urethra, all or at least some jelly was pushed into corpus spongiosum
producing a lobulated, firm mass in the corpus spongiosum
(see Figures 1-3).
The resection margin can be divided in 3 important areas that need to be analyzed: the skin of the shaft with underlying dartos and penile fascia; corpora cavernosa with albuginea; and urethra with periurethral cylinder that includes lamina propria, corpus spongiosum
, albuginea, and penile fascia (Figure 1).
On the contrary, complete isolation of corpus spongiosum
, careful suturing of urethral and corpus cavernous defects, and application of TachoSil to reinforce sutures allowed us to repair fistula and avoid its recurrence.
Surgical exploration found complete necrosis of all the corpus spongiosum
up to its root (Fig.
pT2: Tumor invades any of the following: prostatic stroma, corpus spongiosum
, periurethral muscle
DISCUSSION: Male anterior urethra is the part of the urethra spanning from the bulbo-membranous junction to the external urethral meatus coursing through the corpus spongiosum
Preserved portions of the corpus spongiosum
showed arterial hyalinization with occlusion of the lumen.
In light of the risk factor during the pregnancy and the fact that the patient was born with congenital hypoplasia of corpus spongiosum
, we speculate that the IUD in the mother's uterus might be related to the birth defect and ultimately to the spontaneous ventral urethral fistula.
GRADE IV: Complete division of Corpus spongiosum
leading to urethral fistula and constriction of corpus cavernosa with loss of distal penile sensations.
In 1962, Elliot and Fischerman reported a case of a 68-year-old man who presented with a 5-cm bone in his corpus spongiosum
which required surgical excision.
A preoperative magnetic resonance imaging revealed a mass centred in the glans penis, involving distal ends of both corpora cavernosa and the corpus spongiosum
- causing urethral obstruction (Fig.