Surgical results in penile fracture: Our single center experience

Abstract

Penile fracture arises as a result of a unilateral or bilateral rupture of the tunica albuginea of the corpus cavernosum. It is a rare condition that requires urgent surgical intervention. In this study, we aimed to determine the effectiveness of surgical treatment in penile fracture and its effect on complications. The data of 21 patients who were admitted to the emergency department of our clinic between 2012 and 2019 and underwent emergency surgical repair with the diagnosis of penile fracture were collected retrospectively. The diagnosis of penile fracture was established by anamnesis and physical examination. Age, etiology, duration from trauma to surgery, physical examination findings,length and localization of the tunica albuginea defect, length of hospital stay, and postoperative first-, third- and sixth-month follow-up results were analyzed. Erectile function was evaluated using the International Index of Erectile Function (IIEF-5). Complications such as penile curvature, penile nodule and painful erection were evaluated. The mean age of the patients was 36.8±8.3years. The most common reason of penile fracture was manually bending the penis for detumescence. All patients underwent surgery. The mean duration from trauma to surgery was 7.6±3.1h. The mean length of the tunica albuginea defect was 11±2.5mm. The mean length of hospital stay was 2.5±0.5days. The mean IIEF-5 scores in the postoperative first, third and sixth months were 20.5±2.6, 22±2.2, 22.1±1.7, respectively. Penile fracture is a urological emergency, and timely surgery is an effective treatment method for preventing postoperative complications.