Broken Dick
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Broken Dick
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Sophie Saint Thomas is a New York-based writer originally from the Caribbean. She is Allure ’s resident astrologer and the author of Finding Your Higher Self: Your Guide to Cannabis for Self-Care (Adams Media), a guide to self-care and marijuana, and [*Sex Witch: Magickal Spells for Love, Lust, and... Read more
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There are a lot of sexual myths out there , but doctors confirm that broken penises aren't one of them. Remember when Lexie Grey supposedly broke Mark Sloan's penis back when all our favorite characters on Grey's Anatomy were still alive? Nope, Shonda Rhimes wasn't making that up. While there aren't actually bones in the penis, a penile fracture is a real-life injury. We spoke to several urologists to learn how it happens, what a broken penis looks like, and how to treat one.
First, a quick refresher on what inside a penis can break in the first place: A penis contains two chambers of tissue called the corpus cavernosum , which fill with blood when the penis becomes erect.
Blunt force to an erect penis can tear the sheath surrounding these chambers (and even rupture the erectile tissue inside) so that the blood inside leaks out to other areas of the penis. If you need another visual, Alex Shteynshlyuger , a urologist in New York City, says to think of this covering less like a bone and "more like a sausage casing." (Doctors, however, call the covering of the corpus cavernosum the "tunica albuginea.")
A penis can be broken during vigorous penetrative sex or through masturbation. When this happens during partnered sex involving a penis and vagina, "generally speaking, the penis will come out of the vagina and strike against the pubic bone," says Leslie Deane , an associate professor of urology at Rush University Medical Center in Chicago.
While a penis can fracture during sex in any position, research suggests that rear-entry positions such as doggy style may lead to penile fractures more often than others: A penis may be more likely to exit a vagina or anus entirely when thrusting from behind and then, instead of reentering, bang against something hard like the perineum. (If you're an anal sex beginner, it's important to take things slow — check out our anal sex prep tips .) Deane says penile fractures aren't uncommon, and that he sees several cases a year. He adds that he observes higher rates of the injury around Valentine's Day and that alcohol is sometimes involved.
According to Stacy Loeb , an assistant professor of urology and population health at New York University, a penile fracture may be accompanied by a popping noise, a rapid loss of erection, and acute pain. "The penis may develop swelling and bruising, referred to as an 'eggplant deformity,'" Loeb says. This means that the eggplant emoji isn't totally off-base as a representation of dicks: It just looks like a broken one. Shteynshlyuger adds that some penile fractures lead to bleeding from the tip of the urethra and that patients may notice blood in their urine. If you're having fun with a penis that suddenly "pops," goes soft, and causes its owner immense pain, seek medical attention immediately. You might have a broken dick on your hands.
Still reading? Good, because there's some positive news: If treated, broken dicks stand a great chance of making a full recovery. Unfortunately, Deane says, surgery is required in most cases. While there are less severe penile injuries that can occur during sex, such as a tear of one of the superficial veins, the only way to know for sure what's going on is to head to the emergency room.
It's also important to do it fast: "Surgical repair of the tear usually results in good outcomes," Shteynshlyuger emphasizes. However, "If a penile fracture is severe and not treated in a timely manner, it can lead to problems with obtaining or maintaining erections, [or] it may also cause scar formation in the penis and a condition called Peyronie's disease, which causes curvature and deformity of the penis."
After surgery to repair the ruptured "sausage casing" inside the penis, the recovering patient should be able to have sex again in about six to eight weeks, although Deane advises going slow at first. This doesn't mean that wild, headboard-rattling sex is off the table after a penile fracture, but it's not a bad idea for patients to ease their way back in.
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Even though the penis doesn’t have bones, you can ‘break’ your penis if you have a penile fracture. This happens when an erect penis is bent suddenly and with force. In the U.S., it usually happens during sexual activity.
Falcone M, Garaffa G, Castiglione F, Ralph DJ. Current Management of Penile Fracture: An Up-to-Date Systematic Review. (https://pubmed.ncbi.nlm.nih.gov/28874325/) Sex Med Rev. 2018 Apr;6(2):253-260. doi: 10.1016/j.sxmr.2017.07.009. Epub 2017 Sep 2. PMID: 28874325. Accessed 9/22/2021.
Hughes WM, Natale C, Hellstrom WJG. The Management of Penile Fracture: a Review of the Literature with Special Consideration for Patients Undergoing Collagenase Clostridium Histolyticum Injection Therapy. (https://pubmed.ncbi.nlm.nih.gov/33471204/) Curr Urol Rep . 2021 Jan 20;22(2):13. doi: 10.1007/s11934-020-01025-7. PMID: 33471204. Accessed 9/22/2021.
Kurkar A, Elderwy AA, Orabi H. False fracture of the penis: Different pathology but similar clinical presentation and management. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963338/) Urol Ann . 2014;6(1):23-26. doi:10.4103/0974-7796.127015. Accessed 9/22/2021.
Metzler IS, Reed-Maldonado AB, Lue TF. Suspected penile fracture: to operate or not to operate? (https://pubmed.ncbi.nlm.nih.gov/29184800/) Transl Androl Urol 2017;6(5):981-986. doi: 10.21037/tau.2017.07.25. Accessed 9/22/2021.
Mirzazadeh M, Fallahkarkan M, Hosseini J. Penile fracture epidemiology, diagnosis and management in Iran: a narrative review. (https://tau.amegroups.com/article/view/13975/14793) Transl Androl Urol . 2017; 6(2). Accessed 9/22/2021.
Rajendra N, Vikas S, Amit M, Nitin P, Wagh A. Long term outcome of patients with penile fracture undergoing delayed repair. (https://www.peertechzpublications.com/articles/OJT-1-108.php) Open J Trauma. 2017;1(2):032-036. Accessed 9/22/2021.
Urology Care Foundation. Is it possible for a man to break his penis? (https://www.urologyhealth.org/healthy-living/urologyhealth-extra/magazine-archives/winter-2018/ask-the-experts-is-it-possible-for-a-man-to-break-his-penis) Accessed 9/22/2021.
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A penile fracture isn’t really a fracture because the penis isn’t really a bone. However, you can ‘break’ your penis if it’s bent or hit while it’s erect.
Your penis has two columns or cylinders that are like sponges that fill with blood and make the penis hard. One column is a corpus cavernosum. Two are called the corpora cavernosa. These columns are covered by a protective layer called the tunica albuginea. Your penis is considered ‘broken’ when the tunica abulginea is torn open.
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Some reports say that penile fracture is rare, but others say that it isn’t uncommon. One complication is that people don’t always know that penis fracture is a medical emergency.
It happens more often in younger individuals.
The symptoms of penile fracture often include:
Penile fracture is caused by blunt force — when your penis is erect and it hits something hard and bends. Common causes are:
Your healthcare provider may diagnose penile fracture by physical examination alone. However, they might also order tests such as:
Currently, penile fracture is most often treated with surgery. Your surgeon will repair the tunica albuginea with stitches. Your provider can also look for other injuries, such as a tear in the urethra.
Complications of penile fracture repair surgery may include:
You might be in the hospital for a few days after penile fracture surgery. You’ll have follow-up visits to check that the wound is healing and that you aren’t having problems urinating.
Your provider will talk with you about when you can go back to work or school and when you can return to sexual activity.
You can avoid penile fracture by not bending your erect penis on purpose. You can also consider being careful during vigorous sexual activity.
If your penile fracture is treated, the outlook is good. If you don’t have surgery right away, or ever, you may have a higher risk of problems with:
If you have injured your erect penis, you should get immediate medical care. If you had an injury and didn’t get immediate care, you should still talk to your healthcare provider. This is especially true if:
If you have had penile fracture surgery, you should contact your healthcare provider if you have any signs of infection, like fever, or if you have excessive pain or bleeding.
Some types of penis injuries may seem at first to be penile fractures. You may have some or most of the symptoms, but experience milder pain. One injury is avulsion penile trauma, which happens when the skin of the penis is removed. This usually happens during industrial accidents. It isn’t the same as when the penis is fractured. Usually, the skin is intact in a penile fracture.
It’s not advisable to just let your penis heal by itself. If you’ve had a penile fracture and don’t get treatment, it’s possible that your penis could heal crooked. You might also lose sexual or urinary function.
Yes, penile fracture is an emergency. You need to get medical help immediately.
Penile fracture is a medical emergency. Go to the emergency room if you have a blunt force trauma involving your erect penis. Surgery is the treatment of choice for most cases of penile fracture. Surgery has a better long-term outcome than conservative therapy.
Last reviewed by a Cleveland Clinic medical professional on 08/19/2021.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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Although there is no bone in the human penis, there is still a risk of penile fracture that requires medical intervention and surgical treatment.
The penis is an organ with an impressive ability to multitask, having urinary, sexual and reproductive functions. As a urinary organ, it allows directed urination that allows men to stand to urinate and have a directed urinary flow, a very handy benefit, especially useful with respect to certain public restrooms. As a sexual and reproductive organ, the erect penis permits vaginal penetration and sexual intercourse and functions as a conduit for the placement of semen into the vagina, and hence DNA transfer and perpetuation of the species. No other organ in the body demonstrates such a great versatility in terms of the physical changes between its “inactive” versus “active” states.
Penile rigidity (or hardness) relies on the basis of blood flow. The human penis has no bone, unlike the penis of many other mammals. The function of the “bony”, or os penis, in other mammals is to facilitate sexual intercourse by maintaining penile rigidity. The human penis obtains its bone-like firmness by blood filling and inflating the spongy tissue within the two erectile cylinders of the penis ( corpora cavernosa ), similar to air inflating the tire of a car.
Erections are necessary to make the penis firm enough to achieve vaginal penetration. The price paid for penile rigidity is the small chance of an injury occurring when erect—as opposed to being flaccid, which is a state that is protective against blunt injuries.
A penile fracture is a rare but dramatic occurrence in which the outer sheath surrounding the erectile cylinders of the penis ruptures under the force of a strong blow to the erect penis. It’s not unlike the tire of a car being driven forcibly into a curb, resulting in a gash in the tread. Even though there’s no bone in the human penis, the term fracture is an appropriate term for the injury, because the outer sheath literally ruptures, resulting in a break of the integrity of the erectile cylinders. A fracture of the penis is a medical emergency, and prompt surgical repair is necessary to obtain satisfactory cosmetic and functional results.
Blunt traumatic injuries rarely occur to the non-erect penis because of its mobility and flaccidity. Blunt trauma to the penis is usually of concern only when the penis is in an erect state. When the penis is rigid, there is peak tension and stretch on the outer sheath. A penile fracture occurs when this outer tunic—already under internal stretch and tension by virtue of the expansion of the erectile cylinders—is further subjected to external blunt trauma. This usually occurs under the situation of vigorous sexual intercourse, most often when the penis slips out of the vagina and strikes the perineum (area between the vagina and anus), sustaining a buckling injury.
Fracture can also occur under the circumstance of rolling over or falling onto the erect penis as well as any other situation that could inflict damage to the erect penis, such as walking into a wall in a poorly illuminated room or very forcible masturbation.
A penile fracture typically causes a rather classic and dramatic clinical scenario. An audible popping sound occurs as the outer sheath ruptures, followed by acute pain, rapid loss of erection, and purplish discoloration and extreme swelling of the penis, as the blood within the erectile cylinders escapes through the rupture site, similar to a blow-out of a car tire.
MRI can be used to demonstrate the precise site, extent and anatomy of the fracture. Penile fractures need to be promptly addressed in the operating room, as surgical repair of the injury is important in order to maintain erectile function and minimize scarring of the erectile cylinders that could result in penile bending and angulation. Essentially, the skin of the penis is temporarily degloved (peeled back like a banana skin) and the fracture is identified and repaired with sutures, after which the skin is reattached.
If allowed to heal on its own without surgical intervention, scarring will occur at the site of the fracture and many patients will develop a penile curvature with erections. As a result of the scar tissue, when an erection occurs, there is asymmetrical expansion of the erectile cylinders, resulting in a penile bend or deviation that can be to the extent as to preclude or require extreme acrobatics to have sexual intercourse.
The long and the short of it is that penile fracture is a rare but
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