Historically, treatment for a penis fractured during sexual activity was non-surgical management (e.g., cold compresses, pressure dressings, penile splinting and anti-inflammatory medications). Today, the treatment of choice will probably be for the individual to undergo surgery since it has the best long-term results by lowering complication rates often linked to non-surgical approaches. The most common surgical technique is to "deglove" the penis by making a cut around the shaft near the glans (glands) penis and peeling back the skin to the base to examine the inner surface. The surgeon will then evacuate any hematoma that helps to make examination of any tears in the tunica albuginea easier. If tears exist, they are repaired before the skin is sewn back into position. A Foley catheter may be placed through the penile urethra into the bladder to drain urine and allow the penis to heal. With the entire penis bandaged, the patient will probably remain in the hospital for one or two days, and go home with or without the catheter. They may be given antibiotics and pain medication and will probably be asked to make a followup office visit with their doctor.
For massive injuries to the penis, major reconstruction is frequently possible by urologists experienced with this difficult surgery. How closely the reconstructed penis can return to normal urinary or sexual function varies greatly.
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