Is it possible to fracture your penis?
Answers from Landon Trost, M.D.
Yes. Although rare, penis fracture can occur when there is trauma to an erect penis.
During an erection, the penis is engorged with blood. If an engorged penis is bent suddenly or forcefully, the trauma can rupture the lining of one of the two cylinders in the penis (corpus cavernosum) responsible for erections — resulting in a penis fracture. The trauma most often occurs after accidental injury during intercourse, but can also occur due to aggressive masturbation or taqaandan, a cultural practice in which the top of an erect penis is forcefully bent.
A penis fracture is a painful injury. Signs might include a cracking sound, immediate loss of the erection, or the development of dark bruising of the penis due to blood escaping the cylinder. Sometimes the tube that drains urine from the body (urethra) is damaged as well, and blood might be visible at the urinary opening of the penis.
A penis fracture requires urgent medical attention. The injury can usually be diagnosed with a physical exam, and prompt surgical repair is typically recommended.
Left untreated, a penis fracture might result in deformity of the penis or the permanent inability to get or keep an erection firm enough for sex (erectile dysfunction).
June 30, 2015
See more Expert Answers
- Swanson DEW, et al. Penile fractures: Outcomes of early surgical intervention. Urology. 2014;84:1117.
- Marx JA, et al. Genitourinary system. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, Pa.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed May 22, 2015.
- Hanno PM. Urinary and genital trauma. In: Penn Clinical Manual of Urology. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed May 22, 2015.
- Runyon MS. Blunt genitourinary trauma: Initial evaluation and management. http://www.uptodate.com/home. Accessed May 22, 2015.
- Zargooshi J. Sexual function and tunica albuginea wound healing following penile fracture: An 18-year follow-up study of 352 patients from Kermanshah, Iran. The Journal of Sexual Medicine. 2009;6:1141.