Nonsexual penile fracture in a 34-year-old man managed at a multispeciality, private hospital in Bujumbura, Burundi

Abstract

[Accepted Case Report]

Penile fracture is a rare urological emergency. It is characterized by the rupture of the tunica albuginea of the corpus cavernosum. The diagnosis can be solely made based on clinical presentation.

A cracking sound in the erect penis followed by rapid detumescence, pain, and swelling of the penis are the typical symptoms.

Penile fracture is frequently caused by sexual intercourse but non sexual etiologies can also result in penile fracture. Due to the low energy trauma, urethra injury is uncommon.

We hereby report a case of a 34 years old married man who sustained an unintentional, non-masturbatory, non-intercourse- related penile fracture. The patient was rolling in bed in his sleep while experiencing nocturnal penile tumescence.

Regardless of the etiology, prompt surgical intervention with the closure of the tunica albuginea is the treatment of choice with satisfactory cosmetic and functional results.