Objectives: To analyze the clinical presentation, investigations, and outcome of the surgical treatment of penile fractures.
Methods: We present a retrospective study of 18 consecutive cases of penile fracture presented to our institution from March 2008 to August 2011. All patients were completely evaluated and emergency surgical repair was carried out. The outcome of the surgical repair was analyzed.
Results: Trauma during sexual intercourse was the most common cause of penile fracture. Ultrasonography was accurate in localizing tunical defect in 16 cases. Six patients presented 24 hours after injury. Following surgical repair, 2 patients had painful erection and 1 patient had mild chordee. None of the patients had erectile dysfunction.
Conclusion: Ultrasonography is a good adjunct to clinical examination in diagnosing penile fracture. The long-term outcome of surgical repair is good in all groups, including delayed presentation.
KEYWORDS: Erectile dysfunction, rupture, ultrasonography, penis, urethra
CORRESPONDENCE: Avinash T Siddaiah, Department of Urology, Goa Medical College, Bambolim, Goa, 403202, India ( )
CITATION: UroToday Int J. 2012 August;5(4):art 36.
doi: http://dx.doi.org/10.3834/uij.1944-5784.2012.08.09
