# Double Trouble: An Unusual Presentation of Bilateral Penile Fracture

## TL;DR

A rare case of a 38-year-old man with a double penile fracture during sexual activity was successfully treated with surgery.

## Contribution

This paper presents a rare case of bilateral penile fracture and emphasizes the importance of timely surgical intervention.

## Key findings

- Bilateral tunica albuginea ruptures were confirmed via examination and ultrasound.
- Surgical repair led to full recovery without complications.
- Prompt recognition and treatment are critical to prevent long-term issues.

## Abstract

A penile fracture results from the rupture of the tunica albuginea due to blunt trauma to an erect penis and is a rare urological emergency. Double penile fractures involving both corpora cavernosa injuries are extremely uncommon. We report the case of a 38-year-old male who experienced acute penile pain, swelling, and a "cracking" sound during sexual intercourse. Examination and ultrasound confirmed bilateral tunica albuginea ruptures and hematoma. The surgical repair involved hematoma evacuation and suturing of the tears. The patient recovered without complications. This case highlights the necessity for prompt recognition and surgical intervention in double penile fractures to prevent long-term complications and ensure optimal recovery.