A broken penis is an extremely rare injury most often caused by a blunt trauma to a fully erect penis. A popping or cracking sound, significant pain, immediate flaccidity, and skin hematoma of various sizes commonly follows the event.
When a man is sexually aroused, blood flows to his penis swelling its spongy internal tissue. Instead of being “floppy” and hanging down, it becomes stiffer and longer, and juts out from the body. This erection converts the safe, flaccid penis into a vulnerable organ.
Medical report indicates that the main cause of broken penis is vigorous sexual intercourse including the un-physiological bending of the erect penis during masturbation. Other recorded cases of broken penis happened during woman-on-top position sexual intercourse. This position, wherein the vagina of the receiving partner aligns with the phallus of the inserting partner to achieve penetration, accounts for 50% of penile fractures.
In the eastern world, cases of fractured penile happens because of the snapping and kneading of penis during erection to return the erect penile into natural (flaccid) state and size. However, due low energy trauma, the urethra is rarely involved.
The enthusiastic plunges and pumps of the erect penis against the female pelvis combined with lateral bending can tear the tunica albuginea. An “audible pop or snap,” follows the fracture, then sudden loss of erection, severe pain, hematoma around the area, and a drooping penis to one side or the other.
One reason for the increased risk of penile fracture is that the tunica albuginea stretches and thins significantly during erection. Recently, in the news, a 38 yrs old male broke his penis while having intercourse with his wife. In severe excruciating pain, he was rush for emergency surgical repair.
On examination, the fracture produced a grossly enlarged penis, urethral rapture, and hematoma over suprapubic region including the scrotum. In addition, emergency surgical repair revealed bilateral partial rupture of the corpus cavernosum with complete urethral disruption.
The absence of bone in the penis makes people think that broken penis is impossible to happen. However, the shaft of the penis contains two chambers of spongy tissue, called the corpora cavernosa. These chambers run along the inside length of the penis.
During erection, the nerves of the penis signal the surrounding muscles to relax, allowing blood to pour into the corpora cavernosa. These tubes are inside a tough sack called the tunica albuginea. The thick sack keeps the blood from spilling out of the spongy chambers, which brings about a stiffer, larger, and more rigid rod.
While, erect penis may feel rock-hard, it is still flesh and blood vulnerable to any unusual impact like when thrust against a less flexible object.
Penile fracture is usually partial, and rarely entire. In severe cases, it is possible to damage the urethra, interfering with urination. Often surgery can fix the tear in the tunica albuginea and the penis is usually able to work normally again.
However, delay in seeking treatment increases complication, produces results like erectile dysfunction, permanent penile curvature, damage to the urethra, including painful sexual intercourse.
Even if today’s medicine can fix broken penis, it is still wiser to choose a gentler, tamer, safer, manner of sexual intercourse. In addition, the trauma can be frustrating, embarrassing, and disturbing that may result in bad relationship with wife or girlfriend for a period or a lifetime.