Fracture of the penis

Fracture of the penis

Fracture of the penis usually occurs when the erect penis is bent suddenly . It leads to rupture of the tunica albuginea with extravasation of blood from within the penis. Usually the patient feels a cracking or popping sound. It is associated with pain and detumescence. Clinically there is bruising and penile haematoma ( Figure 85.19 ). There may occasionally be an associated urethral injury . Investigations include ultrasound and MRI. Surgical man - agement involves early exploration of the penis with surgical repair of the ruptured tunica albuginea.