Despite the name, there is actually no bone inside the penis. However, a “penile fracture” is a very real and very painful injury that can happen during sex.
A penile fracture occurs when the tough outer lining around the erectile tissue, called the tunica albuginea, tears while the penis is erect. This usually happens when an erect penis is bent suddenly or forcefully. Certain sexual positions, rough thrusting, or accidentally slipping out and striking a partner’s body can sometimes cause this injury.
People who experience a penile fracture often describe hearing or feeling a sudden “pop” or “snap.” This is usually followed by immediate pain, a rapid loss of the erection, swelling, and significant bruising. The penis may quickly become discolored and swollen, sometimes creating what doctors refer to as an “eggplant deformity” because of its appearance.
As embarrassing as it may feel, a penile fracture is considered a medical emergency. Delaying treatment can increase the risk of long-term complications such as erectile dysfunction, curvature of the penis, or painful erections. Doctors typically diagnose the injury based on symptoms and a physical examination, though imaging tests may sometimes be used.
Treatment usually involves surgery to repair the tear. While the idea of surgery in such a sensitive area may sound terrifying, prompt treatment often leads to excellent recovery outcomes. Most people who receive timely care can return to normal sexual activity after healing.
The good news is that penile fractures are relatively uncommon. The bad news is that when they do happen, they tend to be unforgettable. If a sudden pop, severe pain, swelling, and loss of erection occur during sex, seeking emergency medical attention right away is the safest course of action.
The lesson? Sex should be fun, not a trip to the emergency room. Paying attention to comfort, communication, and avoiding overly forceful movements can help reduce the risk of this very painful and very memorable injury.
