This article describes penile fracture and testicular rupture and offers recommendations for management. Both conditions occur most commonly after blunt trauma. Diagnosis can be supported by imaging but is usually confirmed on surgical exploration, which in both cases should be carried out promptly. Penile fracture occurs most commonly related to coitus, and surgical correction decreases the risk of long-term erectile dysfunction, deformity and pain. Testicular rupture usually presents with persisting pain and haematoma after trauma, and surgery is recommended to minimize permanent organ damage.