Editing Lower Urinary Tract Trauma (section)

===== Pathogenesis =====
* '''<span style="color:#ff0000">Most commonly occurs during vigorous sexual intercourse</span>''', when the rigid penis slips out of the vagina and strikes the perineum or pubic bone, producing a buckling injury.
** Campbell's 11th edition: In the Middle East, self-inflicted fractures predominate owing to the practice of taqaandan, in which the erect penis is forcibly bent during masturbation or as a means to achieve rapid detumescence.
** Review article
*** 21 studies from Middle East and Central Asia published 2003-2014
*** Results:
**** Etiologies of penile fracture
***** Vigorous sexual intercourse (41%)
***** Manual bending of erect penis (29%)
***** Vigorous masturbation (10%)
***** Rolling over in bed (14%)
***** Blunt trauma (6%)
*** [https://pubmed.ncbi.nlm.nih.gov/26229311/ Majzoub, Ahmad A., and Talib A.] Raidh Onder Canguven. "Alteration in the etiology of penile fracture in the Middle East and Central Asia regions in the last decade; a literature review." ''Urology annals'' 7.3 (2015): 284.
*'''<span style="color:#ff0000">When the erect penis bends abnormally, a laceration can occur and it is usually</span>'''
*# '''<span style="color:#ff0000">On proximal shaft, distal to the suspensory ligament</span>'''
*# '''<span style="color:#ff0000">Transverse</span>'''
*# '''<span style="color:#ff0000">Unilateral</span>'''
*#* '''Tears in both corporeal bodies occur in 10% of injuries'''.
*# '''<span style="color:#ff0000">Ventral or lateral</span>'''
*#* '''<span style="color:#ff0000">Tunica albuginea is the thinnest between the 5 o’clock and 7 o’clock positions</span>'''
*#* Recall that Peyronie's Disease usually occurs dorsally
*#* Laceration location in manual bending will depend on direction of bend
*# 1-2 cm in length