Self-induced Penile Fracture Associated With Urethral Rupture

Fracture of the penis is a relatively uncommon condition that is most likely under-reported. It commonly results from excessive force applied to the long axis of the penis in the erect state causing rupture of the tunica albuginea of the corpus cavernosum during masturbation, sexual intercourse, or penile manipulation. Immediate surgical exploration is the treatment of choice in most cases to maintain good erectile function. Concomitant total or incomplete urethral and corpus spongiosum ruptures are even rarer and are usually repaired surgically together with the penile fracture. When the penile fracture and urethral lesions are small, they may be treated conservatively. This is sufficient to preserve good erectile function. We report such a case in an adult who bent his erect penis while sleeping, presented with massive urethral bleeding, and was managed conservatively.