Experience with penile fractures in Egypt: long-term results of immediate surgical repair.

We present our experience in the management of 14 patients with fracture of the penis. The time between the injury and hospital arrival ranged from 2 to 12 hours. All the patients were managed by emergency surgical repair. Surgery consisted of complete evacuation of the hematoma and repair of the tear in the tunica albuginea. Urethral injury associated with penile fracture was not seen in this series. Follow-up time ranged from 12 to 78 months (average, 42.3 +/- 18.3). The results were excellent, with complete early recovery of erectile function. Slight penile curvature during erection was observed in two patients, but this did not affect their sexual activity. Because of these encouraging results and the reported high complication rate of conservative treatment, the need for immediate surgical repair is emphasized.