Penile fracture is the traumatic rupture of the corpus cavernosum. Traumatic rupture of the penis is considered a urologic emergency.
Sudden blunt trauma or abrupt lateral bending of the penis in an erect state can break the markedly thinned and stiff tunica albuginea, resulting in a fractured penis.
Signs and Symptoms
- A popping or cracking sound
- significant pain
- immediate loss of erection and flaccidity
- skin hematoma
- When a penis is accidentally traumatized or bended laterally more than it has to during an erection. Broken Penis happens during a sexual intercourse. Intense and aggressive positions and acrobatic activities can give rise to the pulling and damaging of the tissue of the erected penis and flexing it beyond its strength.
- Aggressive masturbation.
- Taqaandan – a practice that is performed to detect the existence of erection by bending the head part of the penis while the shaft is erected. This practice has been reported to cause penile fracture or broken penis.
- Gunshot at the genital area
- Stab wounds at the genital area
- Penile Amputation– it involves the mutilation of own genitals. It is mostly associated with people who have psychotic disorders.
- Genital Skin Loss– an infection where in involves gangrene of the soft tissues of the genitalia.
- Human or Animal Bites on the genital area
- Burns on the genital area
- Magnetic Resonance Imaging (MRI
. Non-invasive medical management
- Stabilization and Adequate fluids– to replace the blood loss
- The Broken Penis should be given proper compression, penis splints and bandages to avoid unnecessary painful erection of the Broken Penis and further damage
- Cold compress– this is to relieve the Broken Penis from pain and hematoma
- Administration of prescribed medication for the Broken Penis
- Antibiotics are given to avoid the development of infection on the Broken penis
- Estrogens that inhibits the erection of the broken penis
- Pain killers are also given to relieve the patient from the pain
- Anticoagulants and thrombolytic drugs. This should be used with proper caution to avoid uncontrolled bleeding.
- Proper and Sterile Wound Care by cleaning the broken penis of dirt, debris, dead cells and wrapping with sterile gauze that is done every day (or as ordered by the doctor).
b. Invasive Surgical Management
No matter how small or big the trauma has inflicted the penis, surgical restoration of the penis is done to correct the damage done to the tunica albuginea, avoid the complications, erectile dysfunction, and urethral damage. There are three various types of incisions that are done to restore the broken penis:
- Incision of the affected area to visualize the extension of the defect. It also provides examination of the nerve bundles that are affected in the broken penis.
- Inguinal – scrotal incision is giving a great view of the broken penis’ root, base, and rear portion.
- Circumferential – degloving incision is the one that is usually suggested by health care providers because it gives excellent cosmetic outcomes. This is the incision that provides the surgeon the entire exposure of the bilateral corpora cavernosa.
In some cases like penetrating trauma or presence of gangrene in the broken penis, the surgery should include these management:
- The necrotic and gangrene tissue should be incised and debrided.
- Intensive sterile cleaning of the area with antibiotic solution, creams, and Povidine.
- Skin graft is done if the affected area is large and needed to be covered.
Erection of the penis is inevitable because it is the penis’ nature to erect when stimulated sexually. One solution is to avoid the position that may cause too much bending of the penis. Also, broken penis occurs when it is banged against the partner’s pubic bone or any hard surfaces.