Penile fracture

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB =
ICD10 =
ICD9 = ICD9|959.13, ICD9|959.14
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = med
eMedicineTopic = 3415
MeshID = A penile fracture is an extremely rare injury caused by the rupture of the "tunica albuginea", which envelopes the "corpus cavernosum penis". It is an uncommon injury, most often caused by a blunt trauma to an erect penis. [Jagodic K, Erklavec M, Bizjak I, Poteko S, Korosec Jagodic H. A case of penile fracture with complete urethral disruption during sexual intercourse: a case report. J Med Case Reports. 2007 May 2;1:14. http://www.jmedicalcasereports.com/content/1/1/14 ]

Presentation

A popping or cracking sound, significant pain, immediate flaccidity, and skin hematoma of various sizes are commonly associated with the event. These symptoms are similar to a common bruising or contusion of the penis.

Treatment and prognosis

Penile fracture is a medical emergency, and emergency medical surgical repair is the usual treatment. Delay in seeking treatment increases the complication rate. Non-surgical approaches result in 10%-50% complication rates including erectile dysfunction, permanent penile curvature, damage to the urethra, and pain during sexual intercourse.

Causes

In the western world the most common cause, accounting for about 30%-50% of cases, is intercourse. Of those, woman-on-top positions resulting in impact against the female pelvis or perineum and bending laterally are most common.

ee also

For legal context, see "Doe v. Moe", 827 N.E.2d 240 (Mass. App. Ct. 2005), where the court declined to find duty as between two consensual adults.

References