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Which of the following is a common indication of a penile fracture?

  1. Abnormally curved shape

  2. Difficulty urinating

  3. Loss of libido

  4. Pain during ejaculation

The correct answer is: Abnormally curved shape

An abnormally curved shape is a common indication of a penile fracture because this condition typically results from trauma to the erect penis, which can cause a rupture of the tunica albuginea, the fibrous sheath surrounding the corpora cavernosa. This rupture can lead to a significant change in the structural integrity of the penis, resulting in an abnormal curvature, often referred to as "eggplant deformity." In addition to the curvature, other symptoms of a penile fracture can include an immediate sensation of pain, swelling, bruising, and in some cases, the formation of a hematoma. However, the curved shape is particularly telling as it highlights the underlying structural changes caused by the injury. The other options provided, while potentially relevant to other conditions, are not specifically indicative of a penile fracture.