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PostSubject: Broken Penis.   Broken Penis. Icon_minitimeSun Aug 05, 2012 4:29 am

Presentation
Penile Fracture

A popping or cracking sound, significant pain, immediate flaccidity, and skin hematoma of various sizes are commonly associated with the event. These symptoms are similar to a common bruising or contusion of the penis.
Treatment and prognosis

Penile fracture is a medical emergency, and emergency surgical repair is the usual treatment. Delay in seeking treatment increases the complication rate. Non-surgical approaches result in 10–50% complication rates including erectile dysfunction, permanent penile curvature, damage to the urethra and pain during sexual intercourse.

In some cases, retrograde urethrogram may be performed to rule out concurrent urethral injury.[2]
Causes

In the western world the most common cause, accounting for about 30–50% of cases, is intercourse. Of those, partner-on-top position resulting in impact against the female pelvis bone or perineum and bending laterally are most common. [3]

The 'reverse cow-girl position' is notorious in the aetiological cause of penis fracture. The pathogenesis involves the woman bending the erect penis ventrally beyond the tensile strength of the tunica albuginea causing it to fracture.

The practice of taqaandan (also taghaandan) also puts men at risk of penile fracture. Taqaandan, which comes from a Kurdish word meaning "to click," involves bending the top part of the erect penis while holding the lower part of the shaft in place, until a click is heard and felt. Taqaandan is said to be painless and has been compared to cracking one's knuckles, but the practice of taqaandan has led to an increase in the prevalence of penile fractures in western Iran.[4] Taqaandan may be performed to achieve detumescence.[5]
Legal issues

For legal context, see Doe v. Moe, 63 Mass. App. Ct. 516, 827 N.E.2d 240 (2005), where the court declined to find duty as between two consensual adults. The plaintiff in this case, a man who suffered a fractured penis, complained that the defendant, his ex-girlfriend, had caused his injury while she was on top of him during sexual intercourse. The court ruled in her favor, determining that her conduct was neither legally wanton nor reckless.
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