
Penile fracture is rupture of one or both of the tunica albuginea, the fibrous coverings that envelop the penis's corpora cavernosa. It is caused by rapid blunt force to an erect penis, usually during vaginal intercourse or aggressive masturbation.[1] It sometimes also involves partial or complete rupture of the urethra or injury to the dorsal nerves, veins and arteries.[2]
Vaginal intercourse, anal intercourse, and aggressive masturbation are the most common causes[1] but the practice of taqaandan (also taghaandan) also puts men at risk of penile fracture. Taqaandan, which comes from a Kurdish word meaning "to click," involves bending the top part of the erect penis while holding the lower part of the shaft in place, until a click is heard and felt. Taqaandan is said to be painless and has been compared to cracking one's knuckles, but the practice of taqaandan has led to an increase in the prevalence of penile fractures in western Iran.[4] Taqaandan may be performed to achieve detumescence.[5]