Fracture of the penis generally only occurs when the penis is erect. The penis becomes erect because of engorgement with blood. The fracture typically occurs when the individual is forcefully thrusting at the vaginal opening and misses. The penis than hits the outside genital area at an abnormal angle and fractures. When a penile fracture occurs, all the blood in the muscles of the penis leaks out and escapes in the surround tissue.
Penile fracture is very painful and often associated with an audible popping sound. The penis will at once become flaccid and the entire area around the groin and thigh will appear blue. In about a third of cases, the penile fracture will also be associated with damage to the urethra (tube that carries urine) and the individual will not be able to urinate. Frank blood may be visible at the tip of the penis near the urethral opening.
Penile fractures also occurs during rough masturbation when the penis is torqued into unnatural positions. In some parts of the Middle East, young men like to have sex in bizarre and unnatural positions – often leading to penile fracture. Other men like to place their penis inside bottles, vacuum devices, and suction cups. Occasionally things go wrong and the penis fractures. In very rare case, penile fracture can occur in a flaccid penis if heavy blunt trauma strikes the groin.
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