How do you manage a man who presents 48 hours after a penile fracture with a 1 cm tunical defect on ultrasound, no hematuria, and a normal voiding pattern?

I'd still repair it. Forty-eight hours is not too late, and a 1 cm tunical defect is a real tear. Repairing it gives him the best chance of avoiding curvature, a painful nodule, and erectile problems.

No blood at the meatus and normal voiding make a urethral injury less likely, but they don't rule i...