Penile Fracture following Penile Manipulation during Nocturnal Penile Tumescence - A Case Report.

Penile fracture is a rare urological emergency typically caused by vigorous sexual intercourse, masturbation, and trauma. Only very few cases with a non-coital etiology or trauma have been reported in the literature. While cases of penile fracture resulting from the manipulation of the erect penis during masturbation have been reported in the Middle East, we report here a rare case of a penile fracture as a result of manipulation of the turgid penis during nocturnal penile tumescence. Following penile manipulation during nocturnal penile tumescence, our patient presented with persistent penile pain, progressive penile swelling, and penile deformity. Immediate surgical management was carried out with excellent outcomes. The diagnosis of the case with the specifics of the intraoperative findings and the surgical procedure are presented in this report. Our goal is to emphasize that non-coital-related penile fractures can occur and should be recognised to prompt early diagnosis and prompt treatment to avoid complications.