A 27-year-old man from Tunisia fractured his penis in two places while sleeping, resulting in an “eggplant” deformity. The man rolled over onto his erect penis, causing an audible “snap” sound and intense pain. Despite waiting 36 hours before seeking medical attention, doctors were able to repair the fractures and discharge him from the hospital with no long-term complications.
The man’s penis had significant swelling, deviation to the right, and a blood clot at the base, which are characteristic symptoms of a penile fracture. The surgery involved degloving the penis to reveal the two fractures, measuring 7 millimeters and 10 millimeters. Despite the rarity of suffering multiple fractures, the man regained full erectile function by the fourth day after the surgery.
Penile fractures are usually caused by the phallus buckling during vigorous sexual intercourse, with the reverse cowgirl position being the riskiest, accounting for 50% of cases. The man’s case is unusual as his fracture occurred while he was sleeping, highlighting the importance of seeking urgent surgical attention for penile fractures to prevent severe consequences.
The surgery to repair the fractures was successful, with the man experiencing reduced swelling by the second day and regaining full erectile function by the fourth day. He did not report any complications during a 12-month follow-up period, indicating that he did not experience any long-term issues regarding urination or sexual function.
The case study published in the International Surgery of Case Reports emphasizes the importance of seeking immediate medical attention for penile fractures due to their potentially severe consequences. While rare, penile fractures can be successfully treated with surgical interventions, allowing patients to regain full erectile function and avoid long-term complications.
In conclusion, the man from Tunisia experienced a rare case of penile fractures due to rolling over onto his erect penis while sleeping. Despite the unusual circumstances of the injury, doctors were able to repair the fractures and discharge him from the hospital with no long-term complications. This case highlights the urgency of seeking medical attention for penile fractures and the successful outcomes that can be achieved with prompt surgical intervention.
