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Penile trauma

Low urgency
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A penile injury and fracture of the cavernous bodies is an uncommon clinical situation.

The most common cause is direct trauma during sexual intercourse.

It manifests as sudden pain, bruising and deformity.

Diagnosis is reached through the patient's medical history and a physical examination. An ultrasound can be performed as imaging test.

It is currently treated with urgent surgical repair.

Bibliographic references
  1. Michael S Runyon, MD, FAAEM, FACEP. Blunt genitourinary trauma: Initial evaluation and management. UpToDate, Abril, 2015.
  2. Swanson DE. Penile fracture: outcomes of early surgical intervention. Urology 2014; 84:1117.
  3. Morey AF. Consensus on genitourinary trauma: external genitalia. BJU Int 2004; 94:507.
  4. Koifman L. Penile fracture: diagnosis, treatment and outcomes of 150 patients. Urology 2010; 76:1488.
  5. Lumen N. Review of the current management of lower urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol 2015; 67:925.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Pain in penis

    Penis bruise is more evident when sliding the skin down

    Penile detumescence after pain

    Pain for more than 20 minutes

    Genital discomfort

Symptoms to watch out for

Increase in pain and swelling of the affected area
Blood in the urine
Loss of sensitivity in the area
Wound with signs of infection (heat, reddening, painful sensation, fever, swelling)

Self-care

Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Use loose-fitting clothes.
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