DOI: https://doi.org/10.36347/sjmcr.2026.v14i03.052

Pages: 532-536

Penile fracture is a rare urological emergency characterized by rupture of the tunica albuginea of the corpora cavernosa, typically occurring during sexual intercourse. Prompt diagnosis and surgical management are essential to prevent long-term functional complications. We report the case of a 30-year-old man with no significant medical history who presented with acute penile pain, a cracking sound, immediate detumescence, and penile swelling during sexual intercourse. Physical examination revealed penile edema with a localized hematoma and no signs of urethral injury. Penile ultrasound confirmed a rupture of the tunica albuginea in the proximal third of the left corpus cavernosum. The patient underwent emergency surgical exploration via a circumferential subcoronal degloving incision. After evacuation of the hematoma, the tunical tear was repaired with absorbable sutures. The postoperative course was uneventful. At six-month follow-up, the patient reported normal erectile function and no penile curvature. Penile fracture is primarily a clinical diagnosis based on characteristic history and examination findings. Imaging may assist in atypical cases but should not delay surgery. Early surgical repair is associated with significantly lower rates of complications compared with conservative management. Various surgical approaches have been described, with the subcoronal degloving incision offering excellent exposure. Early recognition and prompt surgical intervention remain the cornerstone of management in penile fracture, resulting in favorable functional outcomes and a low rate of complications.