Penile fracture following masturbation: a case report

Introduction and clinical importance: Penile fracture is an uncommon urological emergency caused primarily by direct trauma during intercourse. Patients usually present with acute pain, swelling, and deformity. Prompt clinical evaluation and surgical management are necessary to prevent long-term complications. Case presentation: A 22-year-old man presented with sudden pain, swelling, and loss of erection after his penis bent during masturbation. Examination revealed signs of a penile fracture but no urethral injury. Surgery identified a tear on the right side of the tunica albuginea, which was repaired. He recovered well and, after 1 year, had normal erections without pain or deformity. Clinical discussion: Penile fracture is a rare condition that occurs due to the rupture of the tunica albuginea following a strong injury during intercourse or masturbation. Histological changes within the tunica albuginea are associated with the traumatic rupture of the penis. For diagnosis, clinical examination and medical history are the primary tools, supported by imaging when needed. Surgery is the preferred treatment for most cases, as it allows rapid restoration of both structure and function. Conclusion: Penile fracture is a rare injury that requires quick diagnosis and surgical treatment to avoid complications. Early intervention and proper follow-up ensure the best functional and esthetic outcomes without long-term complications.