## **Core Concept**
The question tests understanding of penile anatomy and the clinical presentation of penile fractures. The **tunica albuginea** is a tough fibrous layer of connective tissue that surrounds the corpora cavernosa and the corpus spongiosum in the penis. **Buck's fascia** is another fascial layer that envelops the corpora cavernosa, corpus spongiosum, and the tunica albuginea.

## **Why the Correct Answer is Right**
In a penile fracture involving the rupture of the **tunica albuginea** but with **Buck's fascia intact**, the swelling and hematoma are typically confined by Buck's fascia. This containment prevents the hematoma from spreading to the superficial tissues and scrotum. Clinically, this would present with a **swollen and painful penis** but without significant superficial bruising or hematoma extending to the scrotum or abdominal wall. The correct answer reflects this understanding.

## **Why Each Wrong Option is Incorrect**
- **Option A:** Incorrect because if the hematoma were to track into the superficial fascial planes (scrotum and abdominal wall), it would imply that Buck's fascia is not intact.
- **Option B:** Incorrect as this option might suggest a more extensive injury or a different type of injury not confined by Buck's fascia.
- **Option C:** Incorrect because a urethral injury could present with blood at the urethral meatus, but this option does not directly relate to the containment of a hematoma by Buck's fascia.

## **Clinical Pearl / High-Yield Fact**
A key clinical point to remember is that a penile fracture with an intact Buck's fascia typically presents with a painful and swollen penis but without extensive ecchymosis or hematoma spreading beyond the penis. This presentation helps differentiate it from less severe injuries.

## **Correct Answer:** . Deformity with hematoma confined to shaft of penis.