European Journal of Molecular & Clinical Medicine

Abstract

The first case of penile  fracture was documented 10 centuries  back by Abul Kasen.[1] Penile fracture is defined as traumatic rupture of corpora cavernosa. It can involve corpora spongiosum and urethra. [2]
Penile fracture occurs commonly after slipping of the erect penis from vagina and hitting the pubis or perineum during sexual intercourse. [3]. The various other causes include over enthusiastic masturbation, falling or rolling onto erect penis and practice of bending erect penis for changing shape or size of penis called as taqaanadan.[4]
The circumstances lead on to the presenting chief complaint of sudden loss of erection with pop up sound, swelling and discoloration with typical eggplant deformity. However, the feeling of embarrassment and social stigma prevents patient from seeking early treatment.                                          
The shaft of penis is composed of three erectile tissues, a pair of corpora cavernosa and one corpus    spongiosum. Tunica albuginea composes of outer longitudinal and inner circular layer, it can resist the rupture until intra-covernous pressure rise to more the 1500mm Hg.[5].Ventrally corpus spongiosum is adjusted in the groove formed by tunica albugina. [6]
The tributaries from the internal pudendal artery are chief supplier of blood to penis. The cavernous artery supplies the erectile tissues of the penis. The venous blood from cavernous spaces is drained by the deep dorsal veins. The superficial group of inguinal nodes drains the lymph from the penial skin, whereas the lymph from intermediate and proximal cavernous drains in the internal iliac nodes and the deep inguinal lymph nodes drains the glans of the penis. [7]