Colles mentions a man of thirty-eight, prone to obesity, and who had been married two months, who said that in sexual congress he had hurt himself by pushing his penis against the pubic bone, and added that he had a pain that felt as though something had broken in his organ.

The integuments of the penis became livid and swollen and were extremely painful.

His urine had to be drawn by a catheter, and by the fifth day his condition was so bad that an incision was made into the tumor, and pus, blood, urine, and air issued.

The patient suffered intense rigors, his abdomen became tympanitic, and he died.

Postmortem examination revealed the presence of a ruptured urethra.
Watson relates an instance of coitus performed en postillon by a man while drunk, with rupture of the urethra and fracture of the corpus spongiosum only.