Penile fracture: Wikis

  
  

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Penile Fracture
Classification and external resources
ICD-9 959.13, 959.14
eMedicine med/3415

A penile fracture is an 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

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.

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.

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.

The practice of taqaandan (also taghaandan) also puts men at risk of penile fracture. Taqaandan, which comes from a Kurdish word meaning "to click," involves bending the top part of the erect penis while holding the lower part of the shaft in place, until a click is heard and felt. Taqaandan is said to be painless and has been compared to cracking one's knuckles, but the practice of taqaandan has led to an increase in the prevalence of penile fractures in western Iran. [2] Taqaandan may be performed to achieve detumescence. [3]

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. The plaintiff in this case, a man who suffered a fractured penis, complained that the defendant, his ex-girlfriend, had caused his injury while she was on top of him during sexual intercourse. The court ruled in her favor, determining that her conduct was neither wanton nor reckless.

References

  1. ^ 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
  2. ^ Nuzzo, Regina. Preventing penile fractures and Peyronie's disease. Los Angeles Times, February 9, 2009. http://www.latimes.com/features/health/la-hew-mating9-2009feb09,0,5573112,full.story
  3. ^ Zargooshi, Javaad. Penile Fracture in Kermanshah, Iran: Report of 172 cases. The Journal of Urology: Vol 164, Issue 2, August 2000, Pages 364-366. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7XMT-4HT8P37-S&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=1ab343116ae0f1d075b03a6e2aa37df2

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