Penile fracture
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A penile fracture is an injury caused by the rupture of the tunica albuginea, which envelopes the male corpus cavernosum. It is an uncommon injury, most often caused by a blunt trauma to an erect penis. A popping or cracking sound, significant pain, immediate detumescence, and skin hematoma of various sizes are commonly associated with the event. Penile fracture is generally considered a medical emergency, and emergency medical 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.
In the western hemisphere 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. It has also been known to occur when a woman falls backwards in certain positions. In Middle Eastern countries the common cause is physical manipulation of the penis to remove an erection.[1] [2].
Other reported causes are intercourse on a desk with the penis hitting the desk, excessive bending forces during masturbation, industrial accidents, gunshot wounds and other mechanical traumas including turning over in bed, direct physical trauma, forced bending and hasty donning of clothes over an erect penis.
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See also, for legal context, Doe v. Moe, 827 N.E.2d 240 (Mass. App. Ct. 2005), where the court declined to find duty as between two consenual adults.
[edit] References
- ^ Eke N. Fracture of the penis. Br J Surg 2002;89:555–65.PMID 11972544
- ^ Zargooshi J.Penile fracture in Kermanshah, Iran: the long-term results of surgical treatment. BJU Int 2002 Jun;89(9):890-4. PMID 12010234
