Penile fractures, a distressing and potentially severe injury, are most commonly caused by sexual intercourse. A new comprehensive study conducted by researchers from Hasanuddin University, Makassar, South Sulawesi, Indonesia, and Mulawarman University, Samarinda, East Kalimantan, Indonesia, has revealed insights into which sexual positions are most likely to cause this injury. The study’s findings have significant implications for sexual health education and the prevention of penile fractures. The results were published in the International Brazilian Journal of Urology.
Penile fracture (PF) is a rare but serious condition, affecting between 114 and 1,048 in every 100,000 men in East Asia. It occurs when the tunica albuginea, the protective layer around the corpora cavernosum, ruptures due to blunt trauma. The classic symptoms include a “cracking” sound, immediate loss of erection, and intense pain. If not treated promptly, PF can lead to complications like erectile dysfunction, curvature of the penis, and the formation of nodules.
The research team conducted a systematic review and meta-analysis of existing studies to ascertain the most dangerous sexual positions leading to PF. They analysed data from twelve studies involving 490 patients. The positions considered were man on top (MTP), woman on top (WTP), and dog style (DSP). The odds ratio and confidence intervals were calculated to assess the risk associated with each position.
The study’s findings are both intriguing and crucial for understanding sexual health risks. The man-dominant positions, specifically MTP and DSP, showed a significant potential for causing PF. The study speculated that the vigorous nature of these positions, especially when the man is highly excited, increases the risk of trauma. In contrast, the WTP did not show a significant association with PF.
These results underscore the importance of awareness and caution during sexual intercourse, especially in positions where the man is dominant. The study’s findings can be instrumental in educating individuals about the risks associated with certain sexual behaviours and potentially contribute to reducing the incidence of PF.
While the study provides valuable insights, it also acknowledges certain limitations. The influence of other factors such as age, penile size, and anatomical abnormalities were not compared with the sexual positions. Future research is needed to explore these aspects and provide a more comprehensive understanding of PF risks.