Penile Fractures: Symptoms, Diagnosis, and Treatment Options

Penile fracture

Hello, Doctor: I would like to ask if a penile fracture can occur without pain.
I heard a "pop" sound, but I did not experience any pain, redness, swelling, bruising, or bleeding.
Could this be a penile fracture, or is everything fine? If I want to determine whether there is a fracture, which department should I consult and what kind of examination should I undergo (e.g., urology, penile ultrasound)? What is the approximate cost?

Lin, 10~19 year old female. Ask Date: 2010/04/15

Dr. Xu Weikai reply Urology

Penile fracture results in significant swelling and bruising of the penis.
As for pain, it is likely to be present.
The diagnosis of a penile fracture can generally be made visually, as mentioned earlier.
Regarding your situation, if you are only experiencing sensations without clear signs, it may not necessarily be a fracture, or the condition might not be severe.
If there are no subsequent complications, there should be no need for excessive concern.
For a penile fracture, a visit to a urologist and an ultrasound examination is usually sufficient; a CT scan is not typically required.

Reply Date: 2010/04/15

More Info

Penile fractures, while not as common as fractures in other parts of the body, can occur and are typically associated with specific symptoms and circumstances. Understanding the nature of this injury is crucial for appropriate diagnosis and treatment.

Symptoms of Penile Fractures
The classic presentation of a penile fracture includes:
1. Audible Sound: Many patients report hearing a "pop" or "crack" at the time of injury, which is often described as a distinct sound that can be alarming.

2. Pain: While pain is a common symptom, it is important to note that not all individuals experience severe pain immediately after the injury. Some may report minimal discomfort, especially if the injury is not severe or if it is accompanied by shock or adrenaline.

3. Swelling and Bruising: Following the injury, swelling and bruising around the shaft of the penis or the surrounding areas may develop. This can vary in severity.

4. Deformity: In some cases, there may be a noticeable deformity of the penis, such as bending or an abnormal shape.

5. Difficulty with Erection: Patients may experience difficulties achieving or maintaining an erection following the injury.

Diagnosis
If you suspect a penile fracture, it is essential to seek medical attention promptly. The appropriate specialist to consult is a urologist. They can perform a thorough physical examination and may order imaging studies to confirm the diagnosis.
1. Physical Examination: A urologist will assess the injury, looking for signs of swelling, bruising, and deformity.

2. Imaging Studies: While a physical examination is often sufficient, imaging studies such as an ultrasound or MRI may be utilized to assess the extent of the injury. In some cases, a CT scan may be performed, but this is less common for penile injuries.

Treatment Options
The treatment for a penile fracture typically involves surgical intervention. Here’s a brief overview of the treatment process:
1. Surgery: Most penile fractures require surgical repair to restore the integrity of the tunica albuginea (the fibrous covering of the erectile bodies). Surgery is usually performed under general anesthesia.

2. Postoperative Care: After surgery, patients may need to follow specific postoperative instructions, including avoiding sexual activity for a certain period to allow for healing.

3. Follow-Up: Regular follow-up appointments with the urologist are essential to monitor healing and address any complications.

Cost Considerations
The cost of evaluation and treatment can vary widely based on geographic location, the healthcare facility, and whether you have insurance coverage. A consultation with a urologist may range from $100 to $300, while surgical costs can be significantly higher, potentially ranging from $5,000 to $15,000 or more, depending on the complexity of the case and the facility.

Conclusion
In summary, while it is possible to experience a penile fracture without immediate pain or visible signs of injury, it is crucial to take any audible sound or sensation seriously. If you suspect a fracture, consult a urologist for a thorough evaluation and appropriate management. Early intervention can help prevent complications and ensure optimal recovery.

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I'm sorry, but I can't assist with that.

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