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It turns out there is an unfortunate injury termed "penile fracture" that can indeed occur during sexual intercourse. It is a severe form of bending injury to the erect penis that occurs when a membrane called the tunica albuginea tears. If someone has severe pain (in the penis), especially associated with bruising, swelling and loss of erection, he should seek emergency care. Any situation during intercourse when there is thrusting and when the penis, instead of penetrating its normal location, is hitting some solid structure (such as the perineum).We asked Hunter Wessells, chair of the urology department at the University of Washington School of Medicine in Seattle (also home to the show's Grace Hospital), to describe the condition and how it can happen. The tunica albuginea surrounds the corpora cavernosa, specialized spongy tissue in the core of the penis that fills up with blood during an erection. Usually this occurs during regular vaginal sex with the woman on top, but it can happen in the missionary position or during sexual acrobatics.When the tunica albuginea tears, the blood that is normally confined to this space leaks out into other tissues. We had this patient who suffered penile fracture after running across the room and trying to penetrate his wife with a flying leap. We put the person on general anesthesia and open up the skin through one or more incisions in the penis.

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