Man, 55, felt a ‘snap' during ‘vigorous' sex before developing an ‘eggplant' growth on his penis
The 55-year-old showed up at hospital with a painful, swollen and badly bruised member just hours after the eye-watering injury.
He felt a sudden painful "snap" in his penis when it struck his partner's perineum, the skin between the anus and vagina, during a "vigorous" romp.
Despite the agony, the man remained partially erect for two hours before the swelling and bruising set in, forcing him to seek emergency care.
Doctors from Creighton University School of Medicine in the US detailed the case in Cureus, saying his penis was bent sharply to the right, with swelling and dark bruises along the left side.
The injury was caused by a tear in the tunica albuginea, the tough fibrous layer surrounding the erectile tissue.
This led to rapid swelling and bruising, giving his penis the classic 'eggplant' look often seen in such cases.
This is because when the penis is erect, the tunica albuginea stretches tight, and a sudden tear during rough sex causes a loud cracking noise and serious damage.
An ultrasound revealed a small tear with nearby swelling, but the scan wasn't clear enough.
An MRI confirmed a larger 2cm tear, plus bruising pressing gently on his urethra, though luckily no serious damage there.
Though the penis has no bones, this kind of injury is known as a "fracture."
He had surgery within eight hours, where doctors stitched the tear and drained trapped blood.
Bizarre medical case reports
After an overnight stay, he was sent home with antibiotics and instructions to avoid sex while healing.
Three months later, he was back to normal, no pain, no deformity, and fully functional erections.
Penile fractures are rare, the medics said, and the force of his penis hitting his partner's perineum must have been "very high" to cause such serious damage.
If left untreated for too long, the injury can lead to erectile dysfunction and scarring.
In rare cases, bacteria can enter through the tear and cause urosepsis, a dangerous infection that starts in the urinary tract and can develop into life-threatening sepsis.
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