Classic history of sudden cracking or popping sound with pain and immediate detumescence. On examination local swelling of the penile shaft is seen and may extend to the lower abdominal wall. The tunica rupture may sometimes be palpable.

Imaging with ultrasound or magnetic resonance imaging may be useful for confirmation.

Subcutaneous haematoma, without rupture of the cavernosal tunica albuginea does not require surgical intervention. Non-steroidal analgesics and ice-packs are recommended.

In penile fracture, early surgical intervention with closure of the tunica albuginea is recommended.