Penis breaks in lovemaking

Although the human penis has no bone, it may 'fracture' during an erection if subjected to a sudden bending force.

In western society, this catastrophic, but uncommon injury, most commonly occurs during aggressive intercourse in which the erect penis accidentally slips out of the vagina and is struck with force against the woman's pubic bone, thigh, buttocks or perineum (area between the vagina and anus).

It may occur in any coital position but happens frequently during woman- on-top intercourse in which the full weight and momentum of the female partner comes down on the penis, which has slipped out of the vagina, causing it to snap or fracture. At the time of injury, a loud cracking noise is typically heard followed by immediate pain and loss of erection then subsequent swelling and deformity of the penis.

There is often significant ignorance, embarrassment and shame surrounding this injury and, sometimes patients are not with their wives or regular partners at the time of injury, causing further stress and anxiety. As a consequence patients may delay seeking medical attention, doing so only after concluding that they are not getting better without medical help.


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