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Cards on the table, guys—penile fracture is a rough topic. And yes, it really is as awful as it sounds. To understand how you can break your penis, you have to know a little about the general structure of the penis and how erections work.
Penile fracture is a rare event, however requires emergency diagnosis and intervention. What a urologist needs to known in such an emergency, is to know whether tunica albuginea is ruptured and if its extent is up to the urethra. This will help to determine if an emergent surgical exploration is indicated, and what structures need to be repaired.
Among the phrases that men dread to speak, "I broke my penis," is likely near the top of the list. Fortunately, penile fractures are a relatively rare occurrence. They mostly occur in young men, and they mostly occur during intercourse. However, they can occur at other times.
Fracture of the penis is an uncommon injury presenting to the emergency department ED. Personal embarrassment and social scenarios associated with this condition may result in underreporting. Patients often delay seeking medical attention, and even when they do, as in our case report, they may withhold the condition for a significant time.
Distinguishing penile ecchymosis from a true penile fracture, or a rupture through the tunical albuginea, can be a challenging clinical conundrum. A penile fracture typically occurs in the setting of blunt penile trauma to the erect penis, most often during sexual intercourse or masturbation. Physical examination findings may vary significantly in patients with a history suggestive of penile fracture, and the severity of the penile ecchymosis frequently does not correlate with the presence or absence of tunical rupture.
During an erection, the penis is engorged with blood. If an engorged penis is bent suddenly or forcefully, the trauma can rupture the lining of one of the two cylinders in the penis corpus cavernosum responsible for erections — resulting in a penis fracture. The trauma most often occurs after accidental injury during intercourse, but can also occur due to aggressive masturbation or taqaandan, a cultural practice in which the top of an erect penis is forcefully bent.
The condition is known as a penile fracture, and it occurs when your erect penis sustains some kind of force. Related: Having Penis Problems? First, a refresher on what makes up your erection: Your penis consists of three cylindrical tubes.