Successful Surgical Repair of a 26-Day Old Penile Fracture

Penile fracture is a rare but severe emergency caused by the traumatic rupture or split in the tunica albuginea of corpora cavernosa, commonly resulting from an injury sustained during sexual activity, forceful manipulation, and blunt or penetrating injury to the penis shaft. Direct trauma to an erect penis causes an increase in cavernosal pressure, leading to the rupture of the tunica albuginea. The preferred standard of care is immediate surgical intervention to reduce risks of complications, including long-term sexual and anatomical dysfunction. In this case study, we report an unusual late presentation (26 days) of a penile fracture that was successfully treated surgically, emphasizing that surgical intervention should always be considered for penile fractures, regardless of delay.