Objective: Rupture of the corpus cavernosum is an uncommon condition that requires immediate treatment in the emergency services. The diagnostic methods and therapeutic approaches are discussed and the literature reviewed.

Methods: Two cases of rupture of the corpus cavernosum diagnosed 8 years and 3 months earlier are presented. One was treated conservatively and the other was submitted to early surgical management. Images showing the technique utilized for cavernosal repair in one of the patients and the satisfactory clinical course of both patients are presented.

Results/conclusions: Rupture of the corpus cavernosum is an uncommon urological emergency in our setting. Patient history and examination are diagnostic in most of the cases. Early surgical management is advocated.

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