Fracture of the penis: A report of two cases

Abstract

We present two cases of fracture of the penis in two young men at the extremes of the social strata the first an unemployed tailor while the other a practicing engineer. The first one was a bachelor while the other was
married with children. In the first case, the fracture occurred during masturbation while in the second case it occurred during consensual intercoursewith hiswife on top. In the first case the fracture occurred at the base of the peniswith associated rupture of the deep dorsal veinwhile in the second case it affected themid-shaftwith urethral rupture and blood at the tip of the penis at presentation. Both of them presented within two hours of their injuries with deformed, swollen and tender penis. Laubscher's subcoronal sleeve operation with evacuation of clots and repair of the tear with absorbable sutures to ensure a leak-proof repair was promptly performedwith no complications.Both patients experienced spontaneous erectionwhilst in hospital evenwith indwelling catheter in place. The wife of the second case became pregnant six months after the repair. Counselingwas successfulwith the engineer butwas unsuccessfulwith the tailor-bachelorwho continuedwith masturbation despite professional help.Thoughwe published the first case of fracture of the penis in this centre almost a decade ago, we still found it necessary to report these newcasesmanaged after we created awareness of this uncommon condition in our environment in order to highlight the presentations and the factors that influenced outcome.