حالة طبية نادرة لكنها خاصة جداُ

Penile fracture
 

Classification and external resources
ICD-9 959.13, 959.14 

A penile fracture is an injury caused by the rupture of the tunica albuginea, which envelops the corpus cavernosum penis. It is most often caused by a blunt trauma to an erect penis.[1]

[Presentation

A popping or cracking sound, significant pain, immediate flaccidity, and skin hematoma of various sizes are commonly associated with the event. These symptoms are similar to a common bruising or contusion of the penis.

 Treatment and prognosis

Penile fracture is a medical emergency, and emergency surgical repair is the usual treatment. Delay in seeking treatment increases the complication rate. Non-surgical approaches result in 10%-50% complication rates including erectile dysfunction, permanent penile curvature, damage to the urethra and pain during sexual intercourse.

In some cases, retrograde urethrogram may be performed to rule out concurrent urethral injury.[2]

[Causes

In the western world the most common cause, accounting for about 30%-50% of cases, is intercourse. Of those, woman-on-top position resulting in impact against the female pelvis bone or perineum and bending laterally are most common. [3]

The practice of taqaandan (also taghaandan) also puts men at risk of penile fracture. Taqaandan, which comes from a Kurdish word meaning "to click," involves bending the top part of the erect penis while holding the lower part of the shaft in place, until a click is heard and felt. Taqaandan is said to be painless and has been compared to cracking ones knuckles, but the practice of taqaandan has led to an increase in the prevalence of penile fractures in western Iran.[4] Taqaandan may be performed to achieve detumescence]

هذه الحالة رأيتها اليوم بالمستشفي سمعت عنها كثيرالكن أول مرة أشاهدها بأم عيني ماهو احساس هذا الرجل وكيف يفكر فى مستقبله وكيف تتحمله زوجته أسئلة كثيرة .