Rupture of the corpus cavernosum of the penis
G. R. Sant
Rupture of the corpus cavernosum ("fracture" of the penis) is an uncommon
injury that occurs in an erect penis. The tunica albuginea is torn during
coitus or as a result of external forces, resulting in sudden pain,
swelling, and discoloration of the penis. Urethral rupture is associated
with the cavernous injury in approximately 10% of cases. Treatment of the
injury aims at full functional and cosmetic recovery. Nonoperative
treatment results in a 10% incidence of penile deformity and requires a
substantial hospital stay. However, surgical repair eliminates resultant
deformity and allows for earlier hospital discharge. Three patients had
fractured penises, including one penis associated with a torn urethra.
Early surgical repair was performed in each patient, and the results were
excellent. Prompt surgical repair should be given to all patients with a
fractured penis.