Penile Fractures: Symptoms and When to Seek Help - Urology

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Penile fractures, while not as common as fractures in other parts of the body, can occur and are typically the result of trauma to an erect penis. This can happen during vigorous sexual activity, accidents, or, as in your case, an unexpected impact from an object. Understanding the symptoms and when to seek medical help is crucial for proper management and recovery.


Symptoms of Penile Fractures
1. Audible Sound: Many individuals report hearing a "popping" or "cracking" sound at the moment of injury, which is often described as the sound of the tunica albuginea (the fibrous covering of the erectile tissue) tearing.

2. Immediate Pain: Following the injury, there is usually a sudden onset of pain. While you mentioned that you currently do not have pain, it is important to note that pain can sometimes be delayed or may not be as pronounced depending on the severity of the injury.

3. Swelling and Bruising: Swelling around the penis and the appearance of bruising are common signs. The bruising may extend to the surrounding areas, including the scrotum and lower abdomen.

4. Deformity: In some cases, there may be a noticeable curvature or deformity of the penis, which can indicate a more severe injury.

5. Difficulty with Erection: After a fracture, achieving or maintaining an erection may become difficult or impossible.

6. Blood at the Urinary Opening: If there is associated injury to the urethra, you may notice blood at the tip of the penis or in the urine.


When to Seek Help
If you experience any of the symptoms mentioned above, especially if you notice swelling, bruising, or deformity, it is essential to seek medical attention promptly. A urologist is the appropriate specialist to evaluate and manage potential penile fractures.
In your specific case, since you have not experienced pain or any of the other symptoms typically associated with a penile fracture, it is possible that you did not sustain a significant injury. However, it is always better to err on the side of caution. If you develop any symptoms such as swelling, bruising, or pain in the coming days, you should consult a healthcare professional.


Conclusion
While your current lack of pain is a positive sign, it is essential to monitor your condition closely. If you notice any changes or develop symptoms consistent with a penile fracture, do not hesitate to seek medical attention. Early intervention can prevent complications and ensure proper healing. If you have any lingering concerns or questions, consider discussing them with a healthcare provider, who can provide personalized advice based on your specific situation.