Non-Intercourse Related Penile Fracture: A Case Report

Abstract

Background

Penile fracture is the rupture of the tunica albuginea of the corporal cavernosal. It is a rare urological emergency with an incident of 1 in 175, 000. This usually follows trauma to an erect penis. Sexual intercourse accounts for the majority of the cases while the non-sexual cause is a rarity. We present this case of non-sexual penile fracture due to its rarity and discuss the clinical features, diagnosis, and management of this clinical condition.

Case

A 51-year-old man was seen at the emergency unit of our hospital with a history of sudden onset of penile pain and swelling of twenty minutes duration. This occurred when he held out his erect penis following an urge to urinate. There was no history of sexual intercourse or masturbation. The examination was remarkable for penile tenderness and swelling. A diagnosis of simple penile fracture was made. He had emergency penile exploration and repair of a tunica defect. The patient was discharged satisfactorily

on postoperative day three. Immediate follow-up was not remarkable

Conclusion

We have illustrated our experience with the rare incident of non-sexual penile fracture. Clinical diagnosis and immediate surgical intervention are key in preventing long-term complication