INTRODUCTION: Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. AIM: To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours. METHODS: Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out. MAIN OUTCOME MEASURES: A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination. RESULTS: All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up. CONCLUSION: Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.
INTRODUCTION:Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. AIM: To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours. METHODS: Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out. MAIN OUTCOME MEASURES: A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination. RESULTS: All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up. CONCLUSION: Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.
Authors: Allen F Morey; Steve Brandes; Daniel David Dugi; John H Armstrong; Benjamin N Breyer; Joshua A Broghammer; Bradley A Erickson; Jeff Holzbeierlein; Steven J Hudak; Jeffrey H Pruitt; James T Reston; Richard A Santucci; Thomas G Smith; Hunter Wessells Journal: J Urol Date: 2014-05-20 Impact factor: 7.450
Authors: Nathan Colin Wong; Shawn Dason; Rahul K Bansal; Timothy O Davies; Luis H Braga Journal: Can Urol Assoc J Date: 2017 Jan-Feb Impact factor: 1.862
Authors: Gregory J Nason; Barry B McGuire; Stephen Liddy; Aisling Looney; Gerald M Lennon; David W Mulvin; David J Galvin; David M Quinlan Journal: Can Urol Assoc J Date: 2013 Jul-Aug Impact factor: 1.862