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
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
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
and bending laterally are most common.
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.