[SavageGlow]

Source. This case is out of Nigeria:

A 35-year-old married banker presented to our facility with penile pain and swelling of 7 days' duration following a traumatic sexual intercourse. He was having sexual intercourse with his wife in a male-dominant position when his penis slipped out of the vagina and forcefully thrust against her perineum. Following this, he heard a “pop” sound followed by a sharp distressing penile pain and immediate detumescence. Shortly after, he developed a gradual swelling of his penis. There was no history of bleeding per urethra and had no difficulty with voiding. He denied the use of performance-enhancing medications and does not ingest alcohol or take hard drugs in any form. He had no curving of the penis before the trauma. Following the above, he immediately applied a warm compress and took some over-the-counter medications for 24 h. With worsening of symptoms, he sought help in an herbal home where the penis was “splint” with thin strips of wood tied around it and was given some herbal concoctions to ingest. He presented to our facility, 7 days after the trauma, on account of the persistence of symptoms.

Examination revealed a swollen penis in favor of the left side and angulated to the right [Figure - 1]. The penile shaft had a palpable defect on the left proximal portion with a positive rolling sign, but the scrotal sac was unremarkable. His urinalysis revealed no microscopic hematuria.

The diagnosis of penile fracture was made on account of the above clinical findings. The penis was explored under regional anesthesia using a degloving subcoronal incision and the blood clots [Figure - 2] were removed. A 2.5-cm defect in the left corpus cavernosum at the proximal penile shaft and a 0.5-cm tear in the right corpus cavernosum around the midportion were noted following clot evacuation. The urethra was spared. Both defects were repaired with 3/0 vicryl sutures [Figure - 3]. A urethral catheter was passed to temporarily divert urine. He had a straight penis following surgery [Figure - 4]. Ciprofloxacin was given prophylactically, and low-dose ketoconazole (200 mg daily) was given for 5 days to prevent immediate postoperative erections following a normal liver function test. The patient had a hitch-free postoperative period. The urethral catheter was removed 2 days after the surgery, and he was discharged on the 3rd day. He was told to avoid sex for 8 weeks.

He was followed up for 2 years, and had no signs of erectile dysfunction, pain, or deformity during erection. This was corroborated by the wife when questioned separately in one of the clinic visits.

[Drastic85]

Right turn Clyde.

[LadyNightmare]

Well, I want to see his bosses face when he calls in "sick" from work for the next 6 weeks!! "Boss? Ya, I can't come to work for a while. I Broke my dick. Yeah, it's bad, I'll send you some pictures."

[Mr.NoCredit]

Another Frankendick~

[kellyhound]

He was followed up for 2 years, and had no signs of erectile dysfunction, pain, or deformity during erection.

lucky bastard

[SavageGlow]

[EnjoyMeredith]

Ketoconazole to prevent erections???