Penile Fracture

A penile fracture is a rare urological emergency involving traumatic rupture of the tunica albuginea—the fibrous sheath surrounding the corpora cavernosa—during an erection. Though the penis has no bone, this injury occurs when sudden bending or forceful trauma tears the erectile tissue, most commonly during sexual intercourse.

Classic symptoms include an audible “pop” or “crack,” instant severe pain, immediate loss of erection, rapid swelling, bruising, and a purple, eggplant-like deformity. Some patients also report blood in the urine or difficulty urinating if the urethra is injured.

Prompt surgical repair within 6 hours is critical to restore function and prevent long-term complications like penile curvature, erectile dysfunction, or painful erections. Surgery involves evacuating clots and suturing the torn tunica albuginea. Hospital stay typically lasts 2–3 days, followed by 4–6 weeks of recovery with ice packs, pain relief, antibiotics, and avoidance of sexual activity.

Delaying treatment significantly increases the risks of permanent deformity and sexual dysfunction. If a penile fracture is suspected, an immediate emergency room visit and urologic consultation are essential. This injury predominantly affects men aged 30–40 and is entirely preventable with careful sexual practices.