Penis broken

Hello,

I have a condition similar to "broken penis" which was caused by masturbation in my late twenties. I've been to many urologists but no one will take an honest look at the damage. The "sheath" underneath the first layer of transparent skin on my penis has been severed and it can be seen quite clearly. The blood sacks underneath this sheath have not been damaged - there are no black and blue marks indicating blood is leaking out. When I pinch or press on the area where the sheath has been severed it's extremely sensitive as I'm actually touching the part of the penis that is no longer protected. I get normal strong erections and can enjoy sex with normal ejaculations but "rough play" is out of the question. I can roll the foreskin back and forth and the damage is quite evident. Can this and should this be repaired ? I have pictures that clearly show the problem. If a surgeon was to peal the top layer of skin back they would notice the damage immediately. I would like an honest diagnosis please.

thank you

[Kevin Pho, MD]

To determine whether a fractured penis can be repaired, it should be comprehensively evaluated by a urologist.  The diagnosis of penile rupture can usually be made solely on the basis of history and physical examination findings; however, in equivocal cases, diagnostic cavernosography or MRI should be obtained.

In many cases, surgical therapy is successful and has resulted in decreased complications compared to conservative therapy alone.  This should definitely be considered.  

You may want to inquire about a second opinion.  If the penile damage isn't immediately obvious, you may want to consider the aforementioned imaging studies to further evaluate the damage.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.