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Penile Fracture during masturbation - a case report
Raghubir Bhardwaj1, Gyvi Gaurav1, Shahnawaz Alam1
1Department of Urology, Tata Main Hospital, Jamshedpur, Jharkhand, India.
Journal of Family Medicine and Primary Care
|February 3, 2021
Summary
Penile fracture, a tear in the tunica albuginea, is a rare urological emergency often caused by sexual trauma. Prompt surgical repair offers good outcomes for this condition.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is an uncommon urological emergency involving a tear in the tunica albuginea and rupture of the corpus cavernosum.
- It can be associated with injury to the corpus spongiosum and urethra, necessitating careful diagnosis.
Observation:
- The injury is most frequently sustained during sexual intercourse, often accompanied by a cracking sound, pain, and rapid detumescence.
- Symptoms include penile shaft swelling, discoloration, and urethral bleeding, prompting suspicion of associated urethral injury.
Findings:
- Diagnosis is primarily clinical, with urethral injury considered in cases presenting with bleeding and bilateral corporal rupture.
- Surgical intervention, specifically closure of the tunica albuginea, is the recommended treatment.
Implications:
- Early surgical management of penile fracture leads to satisfactory cosmetic and functional results.
- Understanding the mechanisms and clinical presentation is crucial for timely diagnosis and effective treatment of this emergency.
