alexa Penile fracture: long-term outcome of immediate surgical intervention.
Reproductive Medicine

Reproductive Medicine

Reproductive System & Sexual Disorders: Current Research

Author(s): Ibrahiem elHI, elTholoth HS, Mohsen T, Hekal IA, elAssmy A

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Abstract OBJECTIVES: To assess the etiology and the late effects of penile fractures treated by immediate surgical intervention. METHODS: Between 1986 and 2008, a total of 155 patients with penile fracture were treated surgically in our center. The interval from injury to presentation was between 1 and 96 hours. Those patients were contacted by mail or phone and were re-evaluated. All patients were re-evaluated by questionnaire and local examination. Patients with erectile dysfunction were evaluated by color Doppler ultrasonography. RESULTS: The most common cause of fracture of penis is sexual intercourse (51.5\%). Unilateral and bilateral corporeal ruptures were present in 139 (89.7\%) and 3 (1.9\%) cases, respectively, whereas no tunical tear was found in 13 (8.4\%) cases. Concomitant urethral injury was present in 14 (9\%) cases. Long-term follow-up (>12 months) was available for 141 patients; among whom there was no complications in 108 (77\%), painful erection in 2 (1.3\%), penile deviation in 5 (3.2\%), both in 1 (0.7\%), erectile dysfunction in 11 (7.8\%), and palpable scarring in 14 (10\%). Scar formation was highly associated using nonabsorbable sutures (P <.001). CONCLUSIONS: Vigorous sexual intercourse was found to be the most common cause of penile fracture. Immediate surgical intervention has low morbidity, short hospital stay, rapid functional recovery, and no serious long-term sequelae. Nonabsorbable sutures should be avoided as it has a higher incidence of scar formation. 2010 Elsevier Inc. All rights reserved. This article was published in Urology and referenced in Reproductive System & Sexual Disorders: Current Research

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