It is not
unusual to find ruptured urethrae following traumatism, and
various explanations are given for it in the standard works on
surgery.
Fracture of the Penis.--A peculiar accident to the penis is
fracture, which sometimes occurs in coitus. This accident
consists in the laceration of the corpora cavernosa, followed by
extensive extravasation of blood into the erectile tissue. It has
also occurred from injury inflicted accidentally or maliciously,
but always happening when the organ was erect. An annoying sequel
following this accident is the tendency to curvature in erection,
which is sometimes so marked as to interfere with coitus, and
even render the patient permanently impotent.
There is an account of a laborer of twenty-seven who, in
attempting to micturate with his penis erect, pressed it downward
with considerable force and fractured the corpora cavernosa.
Veazie relates a case of fracture of the corpora cavernosa
occurring in coitus. During the act the female suddenly withdrew,
and the male, following, violently struck the pubes, with the
resultant injury. Recovery ensued. M'Clellan speaks of removing
the cavernous septum from a man of fifty-two, in whom this part
had become infiltrated with lime-salts and resembled a long,
narrow bone.
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