Abstract

Case Report

Penile Fracture: The “Cracking” Sound and Intra-operative Tunica Albuginea Repair

Ayoub Mamad*, Mohammed Amine Bibat, Mohammed Amine Elafari, Youssef Maachi, Amine Slaoui, Tarik Karmouni, Abdelatif Koutani and Khalid Elkhader

Published: 21 January, 2026 | Volume 10 - Issue 1 | Pages: 001-002

Penile fracture is a rare urological emergency typically characterized by an audible “cracking” sound, immediate detumescence, and rapid penile swelling following trauma to an erect penis. We present clinical and intra-operative images of a 37-year-old man with a proximal tunica albuginea tear confirmed at urgent exploration and repaired with absorbable sutures. Early surgical exploration with hematoma evacuation and primary repair remains the preferred approach to reduce long-term complications such as penile curvature and erectile dysfunction.

Read Full Article HTML DOI: 10.29328/journal.jcmei.1001038 Cite this Article Read Full Article PDF

Keywords:

Penile fracture; Cracking sound; Tunica albuginea; Urological emergency

References

  1. Falcone M, Garaffa G, Castiglione F, Ralph DJ. Current management of penile fracture: an up-to-date systematic review. Sex Med Rev. 2018;6(2):253–260. Available from: https://doi.org/10.1016/j.sxmr.2017.07.009
  2. AL-Mamari SA. Epidemiology of penile injury. In: Urogenital Trauma: A Practical Guide. Springer; 2023. p. 305–306. Available from: https://link.springer.com/chapter/10.1007/978-981-99-6171-9_36
  3. Kitrey ND, Djakovic N, Hallscheidt P, Kuehhas FE, Lumen N, Serafetinidis E. EAU guidelines on urological trauma. Arnhem (Netherlands): EAU Guidelines Office; 2022.
  4. Amer T, Wilson R, Chlosta P, AlBuheissi S, Qazi H, Fraser M, et al. Penile fracture: a meta-analysis. 2016. Available from: https://doi.org/10.1159/000444884
  5. Koifman L, Barros R, Junior RAS, Cavalcanti AG, Favorito LA. Penile fracture: diagnosis, treatment and outcomes of 150 patients. Urology. 2010;76(6):1488–1492. Available from: https://doi.org/10.1016/j.urology.2010.05.043

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