S39.840

Clinical Causes: Vigorous sexual activity leading to trauma or bending of the erect penis Direct blunt injury or blow to the genital area, such as from sports or accidents Falling onto or striking the groin region Attempting to forcefully bend or manipulate the erect penis Penile fracture during blunt trauma without prior erection, though less common

Key Symptoms: Sudden and severe penile pain Swelling and bruising of the penis Deformity or bending of the erect penis A popping or cracking sound at the time of injury Difficulty or inability to maintain an erection Possible bleeding or hematoma under the skin

Diagnosis Path: Diagnosing a fracture of the corpus cavernosum involves a combination of clinical examination and imaging studies. Healthcare providers typically perform a physical assessment to identify deformities, tenderness, or swelling. Imaging tests such as ultrasound can help visualize the injury, while magnetic resonance imaging (MRI) or cavernosography may be employed for detailed evaluation. Prompt diagnosis is essential to determine the extent of the injury and plan appropriate treatment.

Treatment Protocols: Management of a penile fracture generally requires surgical intervention. The goal of treatment is to repair the torn tissue, relieve pain, and restore normal function. Surgical procedures may involve making an incision to access the fractured area, controlling bleeding, and suturing the tear in the corpus cavernosum. Postoperative care includes pain management, scheduled follow-ups, and abstaining from sexual activity for a recommended period to ensure proper healing. Conservative management, such as rest and observation, is seldom appropriate given the potential for complications like erectile dysfunction or penile curvature if untreated.