Fracture of the penis. Report of 6 cases and review of the literature

Penile fracture and investigation of early surgical repair effects on erectile dysfunction

OBJECTIVES

Penile fracture is one of the urological emergencies caused by direct trauma to an erect penis during sexual intercourse, which results in a tear in the tunica albuginea within the corpus cavernosum. Serious complications such as penile curvature and erectile dysfunction may develop due to inappropriate and/or late surgical repair. This study aims to evaluate patients with penile fracture and to describe their demographics, surgical repairs, and long-term outcomes.

MATERIALS AND METHODS

A total of 56 patients who were diagnosed with penile fracture between January 2012 and June 2017 were reviewed. Clinical features, pre-operative assessment, time from injury to surgery, tunica defect properties, and presence of urethral injury were assessed. Early surgical management was performed. Outcomes, including International Index of Erectile Function 5 pre-operation and after 6 months, were evaluated.

RESULTS

The mean age was 30.2 (18-57) years. In etiological questionnaires, 32 (57.2%) patients reported direct trauma to an erect penis during intercourse. The mean size of tunica defects was 1.61 ± 0.42 (0.3-3.6) cm of the nine (16%) patients, and penile fracture was associated with urethral injury. There was no significant difference in International Index of Erectile Function 5 scores before the surgery and 6 months after surgery. Penile skin necrosis developed in one patient 10 days post-operation.

CONCLUSION

Early surgical repair could be an effective method of achieving post-operative erection success in patients with penile fracture due to direct trauma during intercourse.

Penile fracture with urethral injury

A case of penile fracture secondary to a mishap during sexual intercourse is reported. The injury involved both corpora cavernosa and complete transection of the urethra. The injury was repaired with plastic reanastomosis of the corpora cavernosa and urethra. The result with limited followup was satisfactory. The diagnosis and treatment of this unusual injury are discussed.

Traumatic rupture of the corpus cavernosum

Penile fracture is a rare entity. Twelve patients with penile fractures were treated surgically with a very low complication rate. Our results were compared with those reported in the literature.

Traumatic rupture of corpus cavernosum

Penile fracture is a rare entity. Twelve patients with penile fractures were treated surgically with a very complication rate. Our results were compared with those reported in the literature.