Definition
The fracture of the penis is an unusual trauma of the male sexual organ, characterized by the sudden and painful rupture of the albuginea tunic of the corpora cavernosa, ie those tissues which, supplied by blood, determine an erection. This causes an abundant blood leakage, which spreads to the surrounding subcutaneous tissues. The fracture can occur at any point of the penis, but generally occurs at the base and involves only one cavernous body.
In most cases, this event is caused by a sudden, violent and unnatural flexion of the penis on its axis during erection. The fracture can occur, therefore, due to an abrupt exit of the penis from the vagina and the subsequent impact in the pubic symphysis or in the perineal region of the partner during very intense sexual intercourse, or it may derive from the forced manual folding of the organ during masturbation.
Most common symptoms and signs *
- Erectile dysfunction
- Dysuria
- Pain in the penis
- Groin pain
- Edema
- Mass or swelling in the groin
- Curved penis
- Penis size reduction
- Urinary retention
- Blood in the ejaculate
- Blood in the urine
- Strangury
- Urethrorrhagia
Further indications
The fracture of the penis produces a very intense local pain and a sound similar to a broken branch, often felt even by the partner. This results in an immediate loss of erection. The detumescence of the organ can be associated with the appearance of a deviation of the penis and a considerable swelling.
Subsequently, an evident subcutaneous hematoma appears, determined by the release of blood from the corpora cavernosa to the surrounding tissues, whose dimensions vary according to the trauma suffered. The blood effusion can also involve the scrotum and the perineum.
In the event of a penile fracture, damage may also occur to the suspensory ligament of the penis, the cancellous body and the urethra. The rupture of the latter manifests itself with the release of live blood (uretrorragia).
In addition, hematuria and urination difficulties may be present, such as stranguria, dysuria or inability to urinate.
The rupture of the corpora cavernosa is confirmed by an ultrasound examination performed in urgency; the investigation can also highlight a considerable hematoma and an interruption of the albuginea tunic. The diagnosis can also use imaging techniques, such as ultrasound and MRI.
Penile fracture represents a urology emergency that must be treated with timely surgery within 48-72 hours of the trauma. The goal is to correct the lesion caused by the cavernous body rupture and avoid possible complications. A missed or delayed surgical correction, in fact, can determine an erectile dysfunction or the permanent curvature of the penis.
