Accidental Penile Trauma Resulting in a Fracture: A Case Report

A penile fracture is an uncommon but urgent urological emergency resulting from the rupture of the tunica albuginea, typically during vigorous sexual activity or trauma to the erected penis. It commonly presents with acute pain, rapid detumescence, and the characteristic "eggplant deformity." Prompt diagnosis and surgical intervention are essential to prevent long-term complications such as erectile dysfunction, urethral injury, and penile curvature. We report a rare presentation of a penile fracture in a 38-year-old male who experienced sudden localized penile swelling following accidental trauma without attempted intercourse. Notably, classical symptoms such as severe pain, bruising, and a snapping sound were absent. On examination, localized swelling was present without discoloration or per-urethral bleeding. The defect in the corpora was successfully repaired using absorbable sutures following subcoronal incision. Postoperative recovery was uneventful, and the patient was discharged on oral antibiotics with counseling regarding sexual abstinence. This case highlights the importance of maintaining high clinical suspicion for a penile fracture, even in the absence of classical signs. Early surgical management remains the standard of care to ensure favorable outcomes. In addition, this report emphasizes the need for individualized assessment, as atypical presentations may delay diagnosis and treatment. Awareness and timely intervention are critical to minimize the risk of chronic complications and preserve sexual function.