Penile fracture
Penile fracture refers to a serious injury to the penis, specifically the rupture of one or both tunica albuginea, the fibrous envelope of the corpora cavernosa. This injury is typically the result of a sudden, blunt force applied to an erect penis and often occurs during sexual intercourse or aggressive masturbation.[1] This condition may also include additional injuries to the urethra, dorsal nerves, veins, or arteries of the penis.[2]
Anatomy and Pathophysiology[edit | edit source]
The penis's corpora cavernosa, enclosed by the tunica albuginea, are primarily involved in penile erection. The tunica albuginea, a tough fibrous layer, maintains the rigidity of the erect penis. When a blunt force is applied to the erect penis, the pressure within the corpora cavernosa can exceed the tunica albuginea's strength, leading to a fracture or rupture.[3]
Clinical Presentation[edit | edit source]
Patients with a penile fracture typically present with a history of trauma to the erect penis. This trauma often results in a loud cracking or popping sound, immediate detumescence (loss of erection), and significant pain. Physical examination frequently reveals penile bruising, swelling, and deviation of the penis to the side opposite the fracture.[4]
Diagnosis[edit | edit source]
Diagnosis of a penile fracture is primarily clinical, based on patient history and physical examination. If there is uncertainty, imaging studies like an ultrasound, MRI, or a retrograde urethrogram (if urethral injury is suspected) may be used.[5]
Treatment and Prognosis[edit | edit source]
Prompt surgical repair is the standard treatment for penile fracture, as it can reduce the likelihood of complications like erectile dysfunction, penile curvature (Peyronie's disease), or painful erections.[6] Conservative management is generally reserved for minor injuries with no urethral involvement.[7]
References[edit | edit source]
- ↑ , Penile fracture: A traumatic rupture of the corpora cavernosum, Journal of Clinical and Diagnostic Research, 2013, Vol. 7(Issue: 10), pp. 2298-2299, DOI: 10.7860/JCDR/2013/5881.3476, PMID: 24298483, PMC: PMC3858779,
- ↑ , Penile fracture in Kermanshah, Iran: The long-term results of surgical treatment, BJU International, 2002, Vol. 89(Issue: 9), pp. 890-894, DOI: 10.1046/j.1464-410X.2002.02753.x, PMID: 12010222,
- ↑ , Shotgun injuries to the penis and male urethra, Urologic Clinics of North America, 1989, Vol. 16(Issue: 2), pp. 359-364, PMID: 2655678,
- ↑ , Penile fracture - experience in 56 cases, International Brazilian Journal of Urology, 2003, Vol. 29(Issue: 1), pp. 35-39, DOI: 10.1590/S1677-55382003000100008, PMID: 15703060,
- ↑ , Management of penile fracture, Journal of Trauma, 2004, Vol. 56(Issue: 5), pp. 1138-1140, DOI: 10.1097/01.TA.0000111751.52017.BB, PMID: 15179261,
- ↑ , Penile fracture in Kermanshah, Iran: Report of 172 cases, Journal of Urology, 2000, Vol. 164(Issue: 2), pp. 364-366, DOI: 10.1016/S0022-5347(05)67419-7, PMID: 10893601,
- ↑ , Current treatment options for penile fractures, Reviews in Urology, 2004, Vol. 6(Issue: 3), pp. 114-120, PMID: 16985599, PMC: 1472850,
Search WikiMD
Ad.Tired of being Overweight? Try W8MD's physician weight loss program.
Semaglutide (Ozempic / Wegovy and Tirzepatide (Mounjaro / Zepbound) available.
Advertise on WikiMD
|
WikiMD's Wellness Encyclopedia |
| Let Food Be Thy Medicine Medicine Thy Food - Hippocrates |
Translate this page: - East Asian
中文,
日本,
한국어,
South Asian
हिन्दी,
தமிழ்,
తెలుగు,
Urdu,
ಕನ್ನಡ,
Southeast Asian
Indonesian,
Vietnamese,
Thai,
မြန်မာဘာသာ,
বাংলা
European
español,
Deutsch,
français,
Greek,
português do Brasil,
polski,
română,
русский,
Nederlands,
norsk,
svenska,
suomi,
Italian
Middle Eastern & African
عربى,
Turkish,
Persian,
Hebrew,
Afrikaans,
isiZulu,
Kiswahili,
Other
Bulgarian,
Hungarian,
Czech,
Swedish,
മലയാളം,
मराठी,
ਪੰਜਾਬੀ,
ગુજરાતી,
Portuguese,
Ukrainian
Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.
Contributors: Prab R. Tumpati, MD
