He broke his penis three times? Seriously, three times!? Once is plenty. I'm Dr. Rena Malik,
urologist and pelvic surgeon, and today we're going to talk about what it means to
break your penis if you're new here I make all sorts of urologic content including
discussing sexual health bladder health and much much more so if you like what
you see make sure you subscribe and share this channel with your friends
So what exactly they're talking about when they say breaking your penis is something
we call a penile fracture however it's not like a bone the penis even though we call it
affectionately a boner it does not actually have any bones inside of it and so what happens is
during intercourse when the penis is engorged with lots of blood inside if it's bent very forcefully
or hits the pubic bone or any other part of the female genitalia very forcefully that can result
in a penile fracture so what happens is when you're having vigorous intercourse and the tissues
are erect and filled with blood they have a layer outside of them called the tunica and that tunica
when the penis is bent forcefully can rupture you can hear a pop or a kind of a loud sound and then
your penis can get immediately detour messed or flaccid essentially and it can cause the penis to
get really kind of discolored and purplish what we call an eggplant penis and so ultimately
we can tell right away when you come into the er hey i heard this pop or this cracking sound
during intercourse and all of a sudden i had serious pain and my erection went away and so
that's classic sign of a penile fracture so what causes this will certainly vigorous intercourse
and certain positions like reverse cowgirl or when you're entering from behind can be
particularly dangerous because if the penis slips out during intercourse it can then
be bent pretty aggressively and that can cause a fracture outside of that certainly very aggressive
masturbation techniques or if you fall or roll over when you have an erection interestingly in
some parts of the country in the middle east they forcefully bend the penis to cause a d tumescence
or to make the erection go away and very often in those parts of the country that's a common cause
of penile fractures so what happens if you find yourself in this situation well don't delay get to
the emergency room immediately because this will not get better on its own it requires a surgical
repair so you need to get to the emergency room as soon as possible typically if you come in and
you have a pretty standard story of what happened we take you directly to the emergency room we do
have to evaluate the urethra or the p tube because in rare situations the urethra can get injured too
and that can require repair as well and typically we'll look at that in the operating room when
you're asleep with a camera to make sure there are no injuries and if there are we will repair
them at the same time if we're not exactly sure if the story doesn't quite line up or the exam
is not as bad as we think it is or you're not in as much pain as we expect you to be then we
might get an mri to really confirm if there is a fracture or not before taking you to the operating
room the key to having a good outcome from this horrible complication that you can have from
sex is to have surgery as soon as possible it's actually been shown in the literature
that people who have this surgery within eight hours of the injury do far better than those who
wait 36 hours or three days or longer in fact the risk of having a curvature after this repair is
less than five percent and the risk of erectile dysfunction is extremely low so if you get to the
emergency room quickly and get to the operating room and get this repaired it's very unlikely
to cause any problems but if you delay that risk of having curvature is higher as well as having
other certain wound complications or having erectile dysfunction so make sure that you
get to the er immediately to get evaluated and get into the operating room and lastly how can
you prevent this from happening well make sure that during intercourse you communicate with your
partner if the penis happens to fall out make sure you communicate let your partner know that
it's fallen out and you need to reposition and also make sure that you're in control hope you
found that interesting as always remember to take care of yourself because you're worth it