Post-traumatic conus medullaris syndromes (CMS) such as after L1-burst fractures are uncommon, being encountered in only 1.7% of patients with spinal cord injuries. These injuries are almost invariably associated with bladder, erectile or bowel dysfunction, disturbance of perineal sensation and varying sensorimotor deficits in the legs. To date, there are only 6 reported cases of CMS after a L1-burst fracture without sensory or motor deficits in the lower limbs. In this case report, we describe a very rare case of CMS presenting as dysesthetic pain in the distribution of the dorsal nerve of the penis (DNP) and without leg weakness or numbness. Our observations suggest the sensory afferents of the adult human dorsal nerve of the penis terminates in the conus medullaris at levels corresponding to the middle of the T12/L1 disc and the middle of the L1-vertebral body.