A 52-year-old man presented to our hospital with penile swelling and pain. The patient was injured when he forcibly bent his erect penis and heard a dull sound different from the"usual click sound"in the morning. His penis was bent dorsally with a hematoma and was purplish red. We diagnosed this as penile fracture and performed surgical treatment. We made a circumferential incision and degloved his penile prepuce. We removed the hematoma and repaired the injured tunica albuginea with absorbable sutures. Urethral injury was not found. He had no complications or erectile dysfunction after surgery. He had the habit of hearing the clicking sound caused by bending his erect penis since he was fifteen years old. This habit seems to resemble the"taqaandan"procedure, which was reported in Kermanshah, Iran. Only 14 penile fractures related to the habit resembling taqaandan have been reported in Japan.

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http://dx.doi.org/10.14989/ActaUrolJap_71_2_53DOI Listing

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