Contemporary Management of Penile Fracture: a Urologist’s Guide

Penile fracture involves rupture of the tunica albuginea of the corpora cavernosa. It is typically the result of flexion-based trauma of the erect penis during intercourse, whereby the penis strikes the pubic symphysis or perineum. Classic presentation includes report of a sudden “pop” or “snap” followed by pain, rapid detumescence, and subsequent development of a darkly discolored and swollen penis (the so called “eggplant” deformity). Urethral trauma is seen in up to 38 % of cases. Diagnosis is primarily clinical. Early surgical intervention remains the gold standard and is typically associated with a positive outcome. Herein, we offer a review of the most up-to-date data on this topic, along with guidance from clinical practice.