Penile fracture
From Wikipedia, the free encyclopedia
| Penile fracture | |
| Classification and external resources | |
| ICD-9 | 959.13, 959.14 |
|---|---|
| eMedicine | med/3415 |
A penile fracture is an extremely rare injury caused by the rupture of the tunica albuginea, which envelops the corpus cavernosum penis. It is most often caused by a blunt trauma to an erect penis.[1]
Contents |
[edit] 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.
[edit] Treatment and prognosis
Penile fracture is a medical emergency, and emergency 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.
[edit] 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.
[edit] Legal issues
For legal context, see Doe v. Moe, 63 Mass. App. Ct. 516, 827 N.E.2d 240 (2005), where the court declined to find duty as between two consensual adults.
[edit] References
- ^ 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
[edit] External links
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