Abstract • 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. (Arch Surg 1981;116:1176-1178) References 1. Creecy AA, Beazile FS Jr: Fracture of the penis: Traumatic rupture of the corpora cavernosa . J Urol 1957;78:620-627. 2. Fetter TR, Gartman E: Traumatic rupture of penis . Am J Surg 1936;32:371-376.Crossref 3. Gross M, Arnold TL, Peters P: Fracture of the penis with associated laceration of the urethra . J Urol 1977;117:725-727. 4. Jallu A, Wani NA, Rashid PA: Fracture of the penis . J Urol 1980;123:285-286. 5. Walton JK: Fracture of the penis with laceration of the urethra . Br J Urol 1979;57:308-309.Crossref 6. Meares EM Jr: Traumatic rupture of the corpus cavernosum . J Urol 1971;186:407-408 7. Zenteno S: Fracture of the penis: Case report . Plast Reconstr Surg 1973;52:669-671.Crossref 8. Farah RN, Stiles R Jr, Cerny JC: Surgical treatment of deformity and coital difficulty in healed traumatic rupture of the corpora cavernosa . J Urol 1978;120:118-120. 9. Gross M, Arnold TL, Waterhouse K: Fracture of the penis: Rationale of surgical management . J Urol 1971;106:708-710.
Archives of Surgery – American Medical Association
Published: Sep 1, 1981