Abstract
Blunt penile trauma during sexual activity, although highly underreported due to the associated patient embarrassment, constitutes a real urological emergency requiring immediate attention and possibly early surgical intervention. We report a case of a 58-year old man who presented with penile pain following excessive masturbation. Although there were no clinical signs of penile deformity or hematoma, magnetic resonance imaging revealed the presence of a rupture in the tunica albuginea. The patient opted for non-surgical management and his recovery period was complicated by the formation of an abscess at the site of the albugineal tear thus prolonging his hospital stay. The abscess was surgically drained and the patient reports to have normal erections at 3-month follow up.
Highlights
Highly underreported due to patient embarrassment and discomfort penile fracture is a real urological emergency that warrants urgent surgical management and can potentially lead to long-term complications like erectile dysfunction, pain on erection, penile curvature and palpable plaque
Penile fracture is defined as rupture of the tunica albuginea of corpus cavernosum due to blunt trauma to the erect penis.[1]
We report a rare case of penile trauma causing rupture of the tunica albuginea during aggressive masturbation which, under conservative treatment, resulted in abscess formation requiring delayed surgical intervention
Summary
Highly underreported due to patient embarrassment and discomfort penile fracture is a real urological emergency that warrants urgent surgical management and can potentially lead to long-term complications like erectile dysfunction, pain on erection, penile curvature and palpable plaque. We report a rare case of penile trauma causing rupture of the tunica albuginea during aggressive masturbation which, under conservative treatment, resulted in abscess formation requiring delayed surgical intervention. A 58-year old male presented to the emergency department complaining for pain at the left side of the base of his penis 4 h after excessive forceful masturbation His medical and surgical history was unremarkable and he was under no medications whatsoever. The patient was discharged after 12 days of hospitalization with per oral somministration antibiotics administered for additional 10 days With regard to his sexual ability, 3 months after the incidence he reported normal erections he was not willing to complete the International Index of Erectile Function (IIEF) questionnaire or undergo a penile Doppler examination. The patient did not report any other mid- or long-term complications
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