Erectile dysfunction is a psychosocially traumatic condition that can occur from numerous aetiologies. A rare consequence of delayed presentation of penile fracture is the localized erectile dysfunction. It can be averted in patients with penile fractures with early presentation, early recognition and diagnosis with emergency surgical treatment.

This is a 32-year-old trader who presented with a 3-week history of erectile dysfunction localized to the distal phallic region. He had a 2-week antecedent history of misdiagnosed penile fracture. The clinical, endoscopic, and intraoperative findings confirmed tricoporal penile fracture with obliterated proximal and distal corpora cavernosa stumps for which he had surgical reconstruction with a resolution of symptoms.