Penile fracture (penile fracture)

A penile fracture occurs almost exclusively in an erect penis. The most common causes are:

• Vigorous movements during sexual intercourse, especially in certain positions
• Accidents where the erect penis is bent or twisted
• Injuries during masturbation or other sexual activities

• A popping sound or sensation in the penis
• Immediate, intense pain
• Rapid swelling and bruising in the penile area
• Curvature or deformation of the penis
• In some cases, difficulty urinating if the urethra is also affected

The diagnosis is usually made based on the symptoms and a physical examination. Imaging techniques such as ultrasound or magnetic resonance imaging (MRI) can be used to determine the extent of the injury and ensure that no other structures, such as the urethra, are damaged.

• Surgical Treatment: In most cases, a penile fracture requires immediate surgical repair of the erectile tissue. A quick operation helps prevent long-term complications such as erectile dysfunction and penile curvature.
• Conservative Treatment: In very rare, mild cases, conservative treatment with painkillers and rest may be considered, but surgery is generally the safest option.

The best prevention is to be cautious during sexual intercourse and to avoid risky positions or vigorous movements that could lead to an uncontrolled bending of the penis.