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Penile Fractures: Inadvertent & Even Discretionary (Penile 'Cracking';Taqaandan)

EnolaGaia

I knew the job was dangerous when I took it ...
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The penis can be 'cracked' in a manner analogous to the cracking of one's knuckles. This can occur accidentally, or as a result of a practice known from Iran.
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. It sometimes also involves partial or complete rupture of the urethra or injury to the dorsal nerves, veins and arteries. ...

A popping or cracking sound, significant pain, swelling, immediate loss of erection leading to flaccidity, and skin hematoma of various sizes are commonly associated with the sexual event ...

Penile fracture is a relatively uncommon clinical condition. Vaginal intercourse and aggressive masturbation are the most common causes. ...
https://en.wikipedia.org/wiki/Penile_fracture
NOTE: NSFW: Explicit photo on the Wikipedia page.

... Injury to the penis is rare when it isn't erect because it is flexible. During an erection, blood flow in the arteries makes the penis firm. ... The penis may then bend sharply despite the erection. You may feel a sharp pain in the penis and maybe hear a "popping" sound. This is often followed by a rapid loss of the erection. The pain and sound are made by a tear in the tunica albuginea, which is stretched tightly during an erection. Urologists often call this injury a penile "fracture," even though there is no bone in the penis. The pain may last for a short time or it may continue. Blood can build up under the skin of the penis (hematoma), and may become swollen and badly bruised. Blood at the tip of the penis or in the urine is a sign of a serious injury to the urethra.
https://www.urologyhealth.org/urology-a-z/p/penile-trauma
 
In a certain region of Iran 'cracking' one's penis occurs as a deliberate act.
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. Taqaandan may be performed to achieve detumescence.
https://en.wikipedia.org/wiki/Penile_fracture
NOTE: NSFW: Explicit photo on the Wikipedia page.
 
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Here is an overview of the taqaandan situation in Iran. The full research report can be accessed at the link below.

Mirzazadeh, M., Fallahkarkan, M., & Hosseini, J. (2017).
Penile fracture epidemiology, diagnosis and management in Iran: a narrative review.
Translational andrology and urology, 6(2), 158–166.
https://doi.org/10.21037/tau.2016.12.03

Abstract
Penile fracture (PF) is considered an emergency in urology. In the literature there are some case series reporting considerable incidence of PF in some parts of Iran. There are no accurate data about the incidence of PF all around Iran. Although it may be uncommon in other parts of the country and in the other countries, it can also be underreported. There are some challenges in diagnosis, management, and also reporting of these cases. In this review of Iranian medical literature, we searched for penile fracture and penile injury keywords in Medline, Scopus, SID, Google and Persian medical journals. We reviewed the status of epidemiology, etiology, diagnosis, management and complications of PF in different parts of Iran in the published literature. To collect more accurate data, we also performed a questionnaire-based study with sending questionnaires by emails to 700 urologists throughout the country with 14% response rate. Incidence of PF varies significantly in different parts of Iran. Western province of Kermanshah has a significantly higher rate of PF. Adding data from different regions of Iran, we calculated that incidence of PF in Iran can be estimated between 1.14 to 10.48 per 100,000 of male populations, most probably closer to lower end. Although the incidence of PF varies significantly in different geographical areas, urologists practicing in Iran on average may encounter a PF patient every 3.5 months. To diagnose PF, majority of reviewed studies relied on history and clinical examination and did not recommend imaging except in patients with possible urethral injuries. Immediate surgical intervention can make good functional results with low morbidity and short hospital stay. Delayed surgical intervention and observational management approaches need large population studies with long term follow up.

SOURCE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422687/
 
And here's me thinking pearling was weird.
 
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