Fracture of the penis occurs due to the rupture of the tunica albuginea of the corpus cavernosum. The usual cause is abrupt bending of the erect penis by blunt trauma most commonly during sexual intercourse. Obvious clinical findings may preclude the need of cavernosogram. Early surgical management is the treatment of choice with low incidence of complications. Case report 38 yrs old male presented with severe excruciating pain over the penis and immediate loss of erection, following a cracking noise in the penis while having intercourse with his wife previous night. Patient denied use of sildenafil (Viagra) or artificial tumescence device before intercourse. On examination penis was grossly enlarged and tender with ecchymoses over suprapubic region and scrotum (See Figure 1). Patient could pass the urine effortlessly. He gave history of religious circumcision at the age of two years.
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