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Abstract
Background To evaluate the clinical features,
treatment options and outcome of different modalities of
treatment, for penile fracture .
Methods: In this descriptive study cases of penile
fracture were enrolled on the basis of history, physical
examination. Cause of fracture and extent of urethral
damage was assessed. In patients who underwent surgical
exploration, urethral tear was repaired. In patients with
complete urethral transection end to end anastomosis was
performed.
Results: Out of 32 cases, 27 (84.4%) underwent surgical
exploration, 5 were conservatively managed because of
refusal from surgery. Surgery was performed in 27
patients (all had fractures). Majority(70.4%) had tear of
tunica albuginea of Rt. Corpus cavernosum. In 06 (22.22%)
cases associated urethral injury was found. In 02 cases,
with complete urethral transection, end-to-end anstomosis
was performed and good voiding function (urine flow
rates 22-24ml/sec mean 23.4ml/sec) was achieved. All 27
cases achieved normal curvature and erectile function.
Among 5 patients submitted to conservative management,
2 developed curvature abnormality but with satisfactory
erection, one patient has mildly painful erection requiring
analgesics before sexual activity and one patient has
residual penile mass unable to perform sexual activity.
Conclusions: Penile fracture is a urologic emergency
requiring clinical diagnosis and early surgical
management to avoid complications related to erectile
dysfunction.