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Male Sexual Dysfunction
Penile Fracture
A penile fracture is a traumatic rupture of the tunica albuginea of the corpus cavernosum, typically occurring during vigorous sexual activity when the erect penis is bent forcefully. It requires immediate surgical intervention.
85%
Success Rate
Emergency surgery; 6 weeks recovery before resuming sexual activity
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Penile Fracture?
A penile fracture is a traumatic rupture of the tunica albuginea of the corpus cavernosum, typically occurring during vigorous sexual activity when the erect penis is bent forcefully. It requires immediate surgical intervention.
Prevalence: Rare; approximately 1 in 100,000 emergency room visits
Symptoms and Signs
- •Audible popping or cracking sound
- •Immediate detumescence (loss of erection)
- •Severe penile pain and swelling
- •Bruising and hematoma formation
- •Difficulty urinating
- •Deformity of the penile shaft
Causes and Risk Factors
Common Causes
- →Vigorous sexual intercourse
- →Masturbation with excessive force
- →Rolling over in bed with erect penis
- →Trauma or blunt injury to erect penis
- →Aggressive penile manipulation
Risk Factors
- ⚠️Vigorous sexual positions
- ⚠️Extramarital affairs (hurried sex)
- ⚠️Penile enlargement devices
- ⚠️Unknown prior penile surgery
Treatment Options
Expected Outcomes: Excellent outcomes with prompt surgical repair; most men regain normal erectile function within 3-6 months
Available Treatments:
- ✓Immediate surgical exploration and repair
- ✓Evacuation of hematoma
- ✓Suturing of tunical tear
- ✓Urethral repair if concomitant injury
- ✓Postoperative antibiotics
- ✓Pain management
- ✓Avoidance of sexual activity for 6 weeks
Prevention Tips
- →Avoid aggressive sexual positions
- →Communicate with partner during sex
- →Avoid excessive force during masturbation
- →Seek medical attention for any penile trauma
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