Penis fracture: symptoms, causes and medical emergency

preamble

The penis does not contain bones, but it can still suffer what is commonly called a «fracture». It is a rupture of the fibrous envelope that surrounds a cavernous body when the penis is erect.

It is a real and urgent injury. It usually occurs when a rigid penis is brutally bent during sex, masturbation or accident.

What is a penis fracture?

During an erection, the cavernous bodies fill with blood and the albuginea, their envelope, becomes much more tense and fine.

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A violent shock that suddenly bends the penis can tear this membrane. The urethra can also be affected in some injuries.

It is therefore not a bone fracture, but the lesion is serious enough to require a rapid medical assessment.

During intercourse: When does the risk increase?

The risk appears especially when the penis comes out of the vagina or anus then hits the pelvis or perineum instead of entering correctly.

Some positions where the receiving partner controls a large part of the movement can make it difficult to stop immediately if the penis bends. But no position is automatically dangerous when performed slowly and with communication.

If the angle becomes bad, stop the movement rather than force.

Masturbation and risky practices

Normal manual masturbation does not cause fracture. The danger comes above all from a voluntary and brutal flexion of a penis entirely erect or from a significant pressure against a hard object.

Avoid improvised objects, rigid devices not designed for the body and any techniques of forcing the penis to bend.

A suitable sex toy should allow movement in the axis without exercising a sudden lever.

domestic accidents

A fall in the shower, a movement at the edge of the bed or a shock against a piece of furniture can theoretically cause an injury if the penis is erect.

So keep a stable environment, especially when the ground is moist or when you use a large masturbator that requires pelvic movements.

Typical symptoms

A penis fracture often produces several characteristic signs:

• Sensation or cracking noise; ;
• sudden pain; ;
• rapid loss of erection; ;
• significant swelling; ;
• purple or blue coloring; ;
• Penis deformation.

Blood in the urinary meatus or difficulty urinating can make you suspect a urethral attack.

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What to do immediately?

Stop all sexual activity and consult urgently.

Do not try to «put back» the right penis, massage the area or continue to see if the erection comes back.

You can gently apply cold through a fabric while on the go or waiting, without putting ice directly on the skin.

If external bleeding is present, slight pressure with a clean compress can be performed, but this should not delay the consultation.

Is there really a «six hour rule»?

The faster the treatment, the better, but don't think that after exactly six hours the treatment becomes useless.

Early surgery is generally recommended when a fracture is confirmed, as it reduces the risk of persistent curvature, pain and erectile dysfunction.

So go to the emergency room immediately, regardless of the time the injury occurred.

Can we recover normal sexual function?

Yes, especially when the injury is recognized and treated quickly. Many men find a satisfactory erectile function after repair.

The prognosis depends on the extent of the tear, possible urethral involvement and the time to take care of.

The doctor will then give instructions on the duration of sexual abstinence during healing.

How to reduce the risk?

• Communicate when you change position.
• Slow down if the penis comes out frequently during movement.
• Use enough lubricant when needed.
• Avoid voluntarily bending an erection.
• Do not use improvised rigid objects like SexToys.
• Stabilize large masturbators before using the pelvis.

Quitting smoking and limiting alcohol are useful for general and erectile health, but are not direct protection against a traumatic fracture.

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conclusion

The fracture of the penis exists despite the absence of bones. It corresponds to a tear in the tissues that surround the corpora cavernosums, most often after a sudden flexion during an erection.

Cracking, pain, immediate loss of rigidity, swelling and purplish coloring should lead to the emergency room without delay. Prevention is mainly based on controlled movements, good communication and the absence of practices that strongly bend the penis.