J Korean Androl Soc.  1995 Jan;13(1):45-49.

Penile or Urethral Injury During Sexual Intercourse od Masturbation

• Son YJ
• Park YH
• Lee SH
• Jung GW

Abstract

The erect penis may fracture as a result of direct blunt trauma that bends the organ abnormally. Fracture occurs most commonly during coitus, with frequencies ranging from 33 to 58 percent of all penile injuries. Vascular injury alone or urethral injury without penile fracture is very rare. The loss of function in the penis may be not life-threatening, but the quality of patient's life deteriorates if the injury is not properly managed. We therefore reviewed 10 patients who sustained a penile of urethral injury during sexual intercourse or masturbation from the viewpoint of determining an easy diagnostic method and proper treatment. Physical examination, cavernosography and urethrography were performed according to the patient's condition. We used conservative treatment for two patients with rupture of the superfical vein and three patients with urethral tearing and operated on three patients with penile fracture and the patients with rupture of the deep dorsal or dorsal communicating vein. No patient complained of erectile dysfunction after treatment. We think that the penile injury with a normal cavernosogram and either no bleeding signs or only mild ecchymosis on the penis, scrotum and lower abdomen can be considered for conservative management.

MeSH Terms

Abdomen
Coitus*
Decompression Sickness
Ecchymosis
Erectile Dysfunction
Hemorrhage
Humans
Male
Masturbation*
Penis
Physical Examination
Rupture
Scrotum
Vascular System Injuries
Veins