Korean J Urol.  2009 Feb;50(2):165-168.

Long-Term Results of Immediate Surgical Treatment of Penile Fracture

• Kim MG
• Yu JH
• Sung LH
• Noh CH
• Chung JY

Abstract

PURPOSE
Penile fracture is a rare but serious urological condition. Immediate surgical repair is widely accepted as the treatment of choice in penile fracture. The aim of this study is to investigate the long-term outcome of immediate surgical treatment of penile fracture.
MATERIALS AND METHODS
This is a retrospective study of 12 men with penile fracture who were treated in the Department of Urology, Sanggyepaik Hospital, Seoul, Korea from January 2000 to June 2005. Diagnosis was made clinically and was confirmed by cavernosography in all our patients. All patients underwent immediate surgical repair, within two days after trauma, using a degloving incision. The long term results of the immediate surgical repair were evaluated using questionnaire on outpatient department visiting or telephoning.
RESULTS
The median patient age was 43 years (range, 18 to 57 years). The median follow-up was 32 months (range, 14 to 60 months). Of these patients, 8 (66.7%) patients were injured during sexual intercourse, whereas 4 (33.3%) patients were injured during masturbation. All patients were treated by immediate surgery. All patients reported satisfactory, painless erectile function; two developed penile curvature and one had a penile nodule.
CONCLUSIONS
Immediate surgical repair of penile fracture is effective, restores erectile function, and the incidence of complications is low.

Keyword

Penis; Fracture; Surgery

MeSH Terms

Coitus
Follow-Up Studies
Humans
Incidence
Korea
Male
Masturbation
Outpatients
Penis
Retrospective Studies
Urology

Figure

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  Fig. 1 Corpus cavernosography shows extravasation.

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  Fig. 2 Retrograde urethrography shows rupture of penile urethra.

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