World J Mens Health.  2015 Aug;33(2):95-102. 10.5534/wjmh.2015.33.2.95.

Penile Fracture: Our Experience in a Tertiary Care Hospital

• Mahapatra
• Kundu AK
• Pal DK

• KMID: 2032829
• DOI: http://doi.org/10.5534/wjmh.2015.33.2.95

Abstract

PURPOSE
Penile fracture is rare, but it is a urological emergency that always requires immediate attention. Moreover, penile fracture has been reported more frequently in recent years. It may have devastating physical, functional, and psychological consequences if not properly managed in time.
MATERIALS AND METHODS
The objective of this study was to highlight the causes, clinical presentation, and outcomes of cases of penile fracture. This was a prospective observational study extending from November 2012 to November 2014. Each patient underwent a thorough clinical evaluation and received proper treatment.
RESULTS
Twenty patients with penile fracture, aged 19 to 56 years (mean, 28 years) were evaluated in this study. Vaginal intercourse was the most common mechanism of injury. Most of the patients (95%) were diagnosed clinically with a proper history and clinical examination. Nineteen patients were treated surgically. The patients underwent six months of follow-up, and were evaluated with local examinations, questionnaires, and colour Doppler ultrasonography as necessary.
CONCLUSIONS
Although penile fracture is an under-reported urological emergency, its incidence is increasing. It is usually diagnosed based on a clinical examination, but ultrasonography can be very helpful in diagnosis. Especially in cases where treatment is delayed, surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications.

Keyword

Penile diseases; Penile prosthesis; Penis injuries; Urogenital system

MeSH Terms

Diagnosis
Emergencies
Follow-Up Studies
Humans
Incidence
Male
Observational Study
Penile Diseases
Penile Prosthesis
Prospective Studies
Tertiary Healthcare*
Ultrasonography
Ultrasonography, Doppler
Urogenital System

Figure

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  Fig. 1 Distal degloving incision and repair of tunical tear.

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  Fig. 2 Direct lateral incision and tunical repair.

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  Fig. 3 International Index of Erectile Function-5 (IIEF-5) score at 3 months postoperatively.

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