EC Emergency Medicine And Critical Care

Penile fracture is a rare but urgent urological emergency, typically resulting from blunt trauma to an erect penis during sexual intercourse. It involves a rupture of the tunica albuginea surrounding the corpora cavernosa and may, in some cases, extend to the urethra. Most commonly affecting sexually active men between the ages of 20 and 40, the condition often arises from forceful impact against the partner’s perineum during misdirected thrusting. Diagnosis is primarily clinical, based on patient history and characteristic signs such as sudden pain, swelling, and penile deformity-commonly referred to as the "eggplant deformity". Imaging modalities, particularly ultrasound, along with retrograde urethrography, MRI, or urethrocystoscopy, can assist in confirming the diagnosis and evaluating the extent of injury. Prompt surgical repair remains the treatment of choice and has been associated with favorable outcomes in terms of sexual and urinary function. This report presents the case of a 35-year-old man with a unilateral fracture of the right corpus cavernosum, confirmed by ultrasound, who underwent successful surgical management with an uneventful recovery. The case underscores the importance of early recognition and intervention in minimizing long-term complications.

 Keywords: Penile Fracture; Trauma; Ultrasonography

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