Penis fracture, really?

Penis fracture, really?

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Subject of terror, if there is one, you will say to me! But is it really possible since the structure of the penis has no bones? What are the causes and consequences, and how to treat it? Although the situation is rather rare, it is nonetheless worrying. Especially since some people to whom this happens delay consulting, which could have serious consequences for their erectile health.

Anatomical overview

Let's start with an anatomical overview of the area! The penis, one of the external genital organs of the male body (the other being the testicles inside the scrotum), consists of several parts, distinct from each other. 

The part visible at the end of the penis, when uncovered, is called the glans (the foreskin covers – totally or partially – the glans of the penis which is not erect in uncircumcised men. In addition, on the lower part of the glans we find the frenulum of the foreskin – this is a small fold of skin that connects the foreskin to the base of the glans). At the end of the glans, there is the urethral meatus, a small orifice which opens onto the urinary tract (this runs the length of the penis, is connected with the base of the bladder and allows urine to be evacuated and the sperm) and at the base of the glans is the crown, which delimits the balano-preputial furrow. The body of the penis is composed of erectile tissue well supplied by a large amount of blood vessels. What forms the penis are three cylinders, called the corpora spongiosum and the corpora cavernosa. The corpus spongiosum lies under the penis and covers the urethra. The other two bodies forming the penis are called corpora cavernosa and are located on the upper part. The bodies are surrounded by the tunica albuginea – an envelope that allows them to lengthen and increase in volume during erection thanks to their elasticity. It is to the albuginea well swollen with blood that the penis owes in part its erection! And finally, at the base of the penis and which constitutes it, we find the root (located inside the pelvis).

To be taken seriously

Popular jargon uses the term penile fracture, no doubt because of the “crack” sometimes heard when the incident occurs. What actually occurs is a traumatic rupture of the tunica albuginea of ​​the corpora cavernosa. 

However, the pain is often severe and the situation requires immediate attention : if this were to happen, it would then be imperative for the person to immediately take the direction of the emergency service! 

For many people who have experienced this accident, apart from the pain felt and the noise heard, the rupture caused gives the penis a bluish color due to the blood which spreads under the skin. 

You must know that the risks of serious consequences are real if there is no rapid medical intervention and that the urethra may also have been affected – in these rare cases, blood may then flow through the urethral meatus.

After complete medical evaluation of the situation, surgery – to repair the rupture – and/or medication combined with total penile rest (no erection should occur…) or other interventions will be considered. 

The consequences could go as far as erectile or other disorders, if no medical intervention has been performed.  

Generally, the fracture occurs during sexual intercourse: a very rigid penis, a sudden movement, strong pressure and “misalignment” are the classic ingredients for a disastrous recipe. Some people will say that certain sexual positions set the stage for such accidents to occur… the doggy style position (rear penetration position) and the Andromaque position (where the person “owning” the penis is on their back and the other astride), among others, find themselves in the dock… but you should know that there is no “cause and effect” relationship in this assertion. However, many will say that it is better to play it safe!

Rare but far from trivial, the situation must be taken extremely seriously if it occurs.

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