PENILE FRACTURE WITH ISOLATED CORPUS CAVERNOSUM INJURY : A CASE REPORT AND REVIEW OF INDIAN LITERATURE

Penile fracture is an uncommon urological emergency caused by rupture of the tunica albuginea of the corpus cavernosum, most often during sexual intercourse1. Indian studies have shown that early diagnosis and prompt surgical repair significantly reduce long-term complications such as erectile dysfunction and penile curvature2,6. We report a case of a 34-year-old male who sustained a penile fracture during intercourse and was successfully managed with early surgical repair, resulting in a favorable functional outcome. Penile fracture refers to the traumatic disruption of the tunica albuginea of the corpus cavernosum, typically occurring when the penis is erect1. Although rare, it is a well-recognized urological emergency in Indian surgical practice2. The most frequently reported mechanism is blunt trauma during sexual intercourse, particularly when the erect penis slips out of the vagina and strikes the perineum or pubic symphysis 3,4. Patients classically present with an audible cracking or popping sound, sudden detumescence, severe penile pain, and rapidly developing swelling, producing the characteristic eggplant deformity. Earlier Indian studies reported conservative management; however, multiple contemporary Indian series have demonstrated that delayed or non-operative treatment is associated with higher rates of erectile dysfunction, penile curvature, painful erections, and fibrotic plaque formation 5,6.Consequently, early surgical exploration and repair is now considered the standard of care 6,7.