While evaluating a patient with penile fracture
, the possibility of urethral injury must always be kept in mind as its close proximity puts the urethra at risk.
While intercourse and self-manipulation account for most cases of penile fracture
, there have been reports of fracture following a fall from bed with an erect penis, rolling over in bed during nocturnal tumescence, attempting to correct congenital chordee, disentangling an erect penis from a garment, hitting an erect penis against a toilet seat, following forceful contact with the dashboard of a stopping car and masturbating into a cocktail shaker.
is an unusual injury; therefore new case report findings will often suggest changes in patient care and/or surgical management.
(PF) that usually develops after blunt trauma of the erected penis (1-4) is a relatively rare condition characterized by traumatic rupture of the tunica albuginea.
16] Urinalysis was done in all cases of penile fracture
patients to exclude urethral injury that was then confirmed by ascending urethrography/urethroscopy.
However, MRI and cavernosography are mostly recommended to depict discontinuity of the tunica albuginea and diagnose the penile fracture
Appropriate concern for penile fracture
led to operative management.
in Kermanshah, Iran: the long-term results of surgical treatment.
The conservative management of penile fracture
includes splinting, cold compresses and a combination of anti-inflammatory, analgesic medication and fibrinolytics.
Even though Carter's doctor "directly linked" the penis injury to the supplement, urologists said penile fractures
usually are caused by traumatic sexual intercourse.
are a medical emergency and must be treated immediately.
Kramer studied 16 cases of penile fractures
treated at the University of Maryland Hospital between 2004 and 2011.