Penile fracture : Our experience

Abstract

Background: Penile fracture, though rare are more commonly seen in modern-day urological practice. It necessitates urgent and immediate surgical care. It can lead to severe mental and physical agony with functional limitations which could be either sexual or urinary or both. Precise and timely management combined with proper follow–up is mandatory. The emergency care surgeon/ Urologist should be abreast with the evaluation and prompt intervention can result in favourable outcomes.Materials and Methods: We performed a retrospective observational study at a tertiary care referral centre. The objective was to evaluate the causes, clinical presentation and outcome.Results: Nine (09) patients who reported at our centre were treated successfully and were later followed up for two years. The mean reporting time to the hospital was 40.8 hours (35 min-7 days) and all patients received prompt surgical management with 3 patients suffering minor complications at short-term follow-up. Vaginal intercourse was found to be the most common etiological cause for injury. Clinical evaluation and relevant history were sufficient to elucidate the diagnosis. No associated urethral injuries were presentConclusion: If typical symptoms are present (irrespective of signs) a diagnosis of penile fracture can be ascertained. Early exploration is preferable.