Fracture of the corpus cavernosum occurs when one or both corpora are ruptured usually during sexual intercourse and less often owing to blunt trauma. The injury may be associated with an urethral lesion and is easy to recognize; the treatment, however, remains controversial. 7/8 patients had primary or secondary surgical therapy, 1/8 was treated by conservative measures. The results after surgery were very satisfactory, with no immediate perioperative or postoperative complications. The success rate of the surgical management corresponds to a high degree with reports from the literature (complication rate is less than 10%). Based on literature review, conservative treatment is associated with a 25-30% complication rate. Early surgical repair might be the treatment of choice for rupture of the corpus cavernosum with and/or without concomitant lesion of the urethra.