During intimate activity, if a popping or snapping sound is heard from the genital area, followed by immediate severe pain, swelling, and bruising of the penis, urgent medical attention is critical. Dr. Chiang Pei-Chang, a urologist at Tri-Service General Hospital, recently shared a case that required emergency surgery for a penile fracture.
Dr. Chiang explained that despite the term “penile fracture,” there is no actual bone involved. Instead, the injury occurs when the tunica albuginea, a fibrous layer surrounding the erectile tissue, tears. In the case he treated, the patient experienced a sudden “pop” during intercourse, and the penis immediately lost rigidity, followed by rapid swelling and significant bruising.
The doctor performed emergency surgery the same night, locating and repairing the torn tunica albuginea. He emphasized that prompt repair within the “golden window” is crucial for preserving both the penis’s appearance and erectile function. By the next day, the patient’s swelling had significantly subsided, pain had nearly resolved, and recovery was progressing well.
Dr. Chiang highlighted three key warning signs of a tunica albuginea rupture: a sharp cracking sound from the penis, immediate loss of erection, and rapid swelling with bruising—often giving the penis an “eggplant” appearance. He stressed that this is a urological emergency, and anyone experiencing these symptoms should go to the emergency room immediately to maximize the chances of a full recovery.
