Which sexual positions are more likely to break your penis?

By Seriously Science | February 10, 2015 11:00 am

Penile fracture is no joke. It is a serious injury that occurs when an engorged penis is bent, breaking the lining of the corpus cavernosum, the two cylinders inside the penis that fill with blood. A broken penis can often be heard as a cracking sound, followed by intense bruising. Left untreated, this can result in life-long deformities and/or erectile dysfunction. Clearly, the best solution to all of this is to avoid breaking one’s penis altogether. But before you sign yourself up for a lifetime of abstinence, you should learn about the work of these researchers, who have combed through a number of penile fracture cases to determine which sexual positions are most dangerous. The number one culprit? Heterosexual sex with the woman on top. You’ve been warned.

Mechanisms predisposing penile fracture and long-term outcomes on erectile and voiding functions.

“Purpose. To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions. Methods. All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Patients’ status before fracture and voiding and erectile functions at long term were assessed by periodic follow-up and phone call. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions. Results. Among the 44 suspicious cases, 42 (95.4%) were confirmed, mean age was 34.5 years (range: 18-60), mean follow-up 59.3 months (range 9-155). Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercourse was the most common cause (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). “Woman on top” was the most common heterosexual position (n = 14, 50%), followed by “doggy style” (n = 8, 28.6%). Four patients (9.5%) maintained the cause unclear. Six (14.3%) patients had urethral injury and two (4.8%) had erectile dysfunction, treated by penile prosthesis and PDE-5i. No patient showed urethral fistula, voiding deterioration, penile nodule/curve or pain. Conclusions. “Woman on top” was the potentially riskiest sexual position (50%). Immediate surgical treatment warrants long-term very low morbidity.”

Related content:
NCBI ROFL: Penis too long. What to do?
NCBI ROFL: An explanation for the shape of the human penis.
NCBI ROFL: Vacuum cleaner injury to penis: a common urologic problem?

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  • Guest

    As a heterosexual old man with some experience, I must say I often found that a little scary because it was obvious that part of my physiology wasn’t designed for flexing toward my feet when the blood flow miracle GOD gave us guys was doing its thing. However .. I think this needs further study, can I go back and try THAT again ???

    • HCSi_rational

      Any particular reason god is written as “GOD”? Why all caps? Why are you emphasizing something completely irrelevant to not only the article but your own comment.

      • Guest

        Relevance depends on one’s understanding of GOD. You think there isn’t one, I guess. You think the way the penis is constructed isn’t of intelligent design and therefore I shouldn’t say so . . I guess. Just WHAT are you saying? My comment is straight forward and I meant exactly what I said. Good luck !!

        • obadiah_edomite

          If there were such a being as GOD, scientists would not know it all.

    • The Doctor

      God gave us nothing. We’re the product of a Y chromosome from dad’s sperm and X chromosome from mom’s egg.

      • Guest

        That’s REALLY silly. Where do you think all that came from? Evolution? Good Luck!!!!

        • The Doctor

          That is the stupidest thing I’ve read on the internet.

          Congratulations. You’re a moron.

  • 1LTLos

    Can a non-erect penis experience penile fracture? During a football game I was tackled on a sun baked football field and I fell directly upon my penis and as described, I heard or felt that “crack” sound and had extremely painful swelling and black and blue type bruising on my shaft. I have experienced ED all my life — I was 15 when the injury occurred.

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