Abstract
Objectives: The aim of this study is to review the diagnostic work-up, treatment methods and outcomes in patients treated for penile fractures. Methods: Thirty-one patients were treated for penile fracture during the period 2006-2014. Data were retrieved from patients’ journals and analyzed retrospectively. Follow-up data were available for 23 patients. Results: Twenty-eight patients (90%) experienced immediate pain at incidence; 29 (94%) experienced immediate swelling; 23 (74%) heard a cracking sound; 20 (65%) observed a blue discoloration immediately afterwards and 20 (65%) got immediate detumescence. Magnetic Resonance Imaging was used preoperatively in 10 patients and demonstrated the side and localization of the rupture in tunica albuginea in all cases. A longitudinal incision over the suspected site of the rupture was used in 20 patients and a sub-coronal de-gloving incision of the penile skin was used in 10 patients. The average operation time with longitudinal incision method and de-gloving was 43 minutes and 57 minutes, respectively. Short term complications were seen in four patients and long term complications were seen in 14 patients of which deviation of penis during erection was most common. Conclusions: Immediate pain, swelling and hearing a cracking sound are predominant features in the history of patients with penile fracture. Magnetic Resonance Imaging is recommended for localizing the rupture site. A longitudinal incision over the rupture site means significantly shorter operation time than de-gloving.
Highlights
The aim of this study is to review the diagnostic work-up, treatment methods and outcomes in patients treated for penile fractures
Magnetic Resonance Imaging is recommended for localizing the rupture site
The main findings in our study were that all patients with penile rupture presented with classical symptoms, MR showed the rupture site correctly and the average operation time was shorter when a longitudinal incision was used as compared to de-gloving
Summary
Penile fracture is defined as a rupture of tunica albuginea caused by blunt trauma. It is a rare urological emergency and immediate surgical repair is recommended to obtain optimal functional outcome and avoid complications [1] [2]. Immediate surgery is recommended and preoperative localization of the rupture site is important for the extent of the surgical dissection. The role of MRI to accurately localize the fracture site is of special interest [6]. The most common surgical approaches are longitudinal incision over the rupture site and sub-coronal de-gloving incision, but the importance of the surgical approach for the operation time and outcome is poorly described
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
