Penile Fracture with or without Urethral Injury and its Follow-up

Gaurav Prakash

Department of Urology, King George Medical University, India

^*Correspondance to: Gaurav Prakash 

 PDF  Full Text DOI: 10.25107/2474-1647.2006

Abstract

Introduction: Penile fracture is a urological emergency and delay in management can result in erectile dysfunction and pain during intercourse. Penile fracture has been reported to be associated with urethral injury in 1% to 38% case.Materials and
Methods: A prospective analysis was conducted from January 2013 to June 2015, a total of 16 cases of penile fracture were included. Out of these 16 cases, four were associated with partial urethral injury and two with complete urethral disruption. All patients underwent surgical exploration without any delay under all aseptic precautions and no preoperative radiological imaging was done.Results: Mean age of 16 patients was 34.40 ± 6.39 years while mean interval time from injury was 26.52 ± 13.12 hr. Mean operating time was 59.50 ± 17.23 min. At 12 months of follow up 5 patients had penile pain during erection, 2 had mild curvature not interfering with intercourse and 4 patients had mild erectile dysfunction. Voiding function was found satisfactory in all the patients till last follow up.Conclusion: Penile fracture is a urological emergency. Clinical examination is the best way to diagnose the entity. Immediate exploration and repair without delay can preserve sexual and voiding function.

Keywords

Penile fracture; Urethral injury; Erectile dysfunction

Cite the article

Prakash G. Penile Fracture with or without Urethral Injury and its Followup. Clin Surg. 2018; 3: 2006.