![]() ![]() © 2013 International Society for Sexual Medicine. Preoperative counseling should include discussion of long-term erectile and voiding dysfunction, penile deformity, and urethral fistula both with and without surgery. Concomitant urethral injury is common, particularly with bilateral corporal rupture and/or initial hematuria. Clinical suspicion of fracture should be high even with hematoma alone. Penile fracture is an emergency for which surgery should be offered. Four of the 13 (30.8%) patients showed deterioration of voiding including occurrence of urethral fistula. At follow-up, 7/13 (53.8%) patients had impaired erectile function, with 3/13 (23.1%) patients needing medical treatment. In 13/14 (92.9%) patients, penile fracture was confirmed by surgery. Fourteen of the 26 (53.8%) patients after surgery were available for follow-up. Only less than half of confirmed fracture patients presented with the classical triad of an audible crack, detumescense, and hematoma. Twenty-six of the 28 (92.9%) patients underwent surgery. Penile fracture was suspected in 28/34 (82.4%) patients. Degloving of the penis with a circumferential incision is the most commonly. Patients' status before penile fracture was assessed retroactively.Įrectile function was assessed by the International Index of Erectile Function questionnaire and voiding function by the International Prostate Symptom Score questionnaire. Surgical exploration remains a safe option in management of penile fractures 5. Voiding and erectile function were evaluated at long-term follow-up by mail. In case of concomitant urethral lesion, the defect was repaired simultaneously. The defect of the tunica albuginea was closed by absorbable suture. Diagnosis of penile fracture was made by clinical assessment and surgery performed thereafter. To call it a fracture may be a inaccurate when talking about the penis, which has no bone, but the cracking sound, intense pain, and immediate swelling and. Patients presenting with suspicion of penile fracture were included in this study. To assess long-term results of patients undergoing surgical therapy for penile fracture. Surgical management is recommended, but objective data of postoperative long-term effects, especially regarding voiding and erectile function, vary. Penile fracture in Kermanshah, Iran: report of 172 cases.Penile fracture is an emergency in urology. Penis health: Identify and prevent problems.Sexual function outcomes following fracture of the penis. Early surgical repair of penile fractures. The main goals of treatment are to restore or maintain your ability to have erections and preserve urinary function. The surgeon will use stitches to close the tear in the tunica albuginea and corpus cavernosum. Penile fracture: Our experience in a tertiary care hospital. Penile fractures usually require surgery. An update of penile fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes. Current treatment options for penile fractures. Penile fracture and associated urethral injury: Experience at a tertiary care hospital. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This reveals any damage or abnormalities the surgeon will need to know about when you undergo a repair. This happens in up to 38 percent of men with have penile fractures.Ī common test involves injecting a dye into the urethra through the tip of the penis and taking an X-ray. You may also need to undergo special urinary tests to check if the urethra has been damaged. Penile fracture is the rupture of the tough layer of tunica albuginea (that covers corpus cavernosum) as a result of blunt trauma on the erect penis 1, 2. Although complications such as penile curvature, penile deformity, fibrosis, and sexual dysfunction are less common following surgical treatment, overall. magnetic resonance imaging (MRI) with a scanner that uses a magnetic field and radio-energy pulses to create detailed images of the inside of the penis. ![]()
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