Penile fracture is uncommon, but it is essential to promptly identify this specific urogenital injury. The majority of such injuries occur from direct blunt penile trauma during sexual intercourse. Severe blunt trauma to an erect penis results in markedly increased cavernosal pressure that, if severe enough, results in the rupture of the tunica albuginea, which is termed a penile fracture.
Delays in the treatment of penile fractures can lead to long-lasting sexual dysfunction. Given the serious potential sequelae of this injury, if not treated promptly, penile fractures are considered true urological surgical emergencies. This article will review the identification, evaluation, treatment, and proper management of penile fractures.
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