Penile fracture

Did you know you can actually have penile fracture? Oh yes your “penis” can break literally.The penile shaft has three erectile tissues,two corpora cavernosa and corpus spongiosum. The corpora cavernosa is surrounded by the tunica albuginea. The urethra passes through the corpus spongiosum.

Penile fracture is the traumatic rupture of the tunica albuginea of one or both corpora cavernosa of an erect penis. It is most common blunt injury to an erect penis.If the injury also affects your urethra, you might notice blood when you urinate. This means your urethra is also injured.

Causes

  • Aggressive Masturbation.
  • Sexual postion, usually women on top.
  • Sexual intercourse when the penis slips out of the vagina and hit the perineum or pubic symphysis or mons pubis.
  • Turning over erect penis during sleep.

NB:A popped or cracked sound is heard when the fracture occurs.

Complication

  1. Urethral stricture
  2. Painful erections
  3. Erectile dysfunction
  4. Abnormal penile curvature
  5. Abscess formation

Treatment

Penile fracture is a urological emergency.Emergency surgical exploration with closure of the tunica albuginea is done. Delay in seeking treatment increases complication.

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