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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.