Penile fracture

Penile Fracture
Penile fracture with characteristic hematoma
SpecialtyUrology
SymptomsImmediate pain and swelling of the penis, rapid erection loss, discoloration of the penile shaft
ComplicationsGangrene, erectile dysfunction, Peyronie's disease
CausesBlunt trauma to an erect penis
Risk factorsSexual intercourse, masturbation
Diagnostic methodBased on symptoms, ultrasound
Differential diagnosisTesticular torsion
TreatmentEmergency surgery
Prognosis~10–50% of people develop erectile dysfunction or Peyronie's disease
Frequency~1 per 175,000 men per year

Penile fracture is rupture of one or both of the tunica albuginea, the fibrous coverings that envelop the penis's corpora cavernosa. It is caused by rapid blunt force to an erect penis, usually during vaginal intercourse, or aggressive masturbation. It sometimes also involves partial or complete rupture of the urethra or injury to the dorsal nerves, veins and arteries.