Fracture of the penis: nine cases with evaluation of reported cases in Japan.
BACKGROUND
Fracture of the penis is a relatively rare condition that is defined as a rupture of the tumescent corpora cavernosa as a result of blunt trauma, most commonly during sexual intercourse or masturbation. The fracture is easy to recognize but treatment remains controversial. We, therefore, examined the treatment methods for penile fracture.


METHODS
Between December 1990 and March 2001, eight patients underwent immediate surgical repair on the first or second day after fracture of the penis, and one patient underwent surgery on the 30th day after fracture, at Kansai Rosai Hospital. Patient age at presentation ranged from 15 to 55 years. Eight patients came to the hospital 2-23 h after the fracture occurred. All patients complained of penile swelling and ecchymosis. Three patients reported hearing a snapping sound. None of the patients demonstrated macroscopic hematuria.


RESULTS
We treated all of the patients surgically. All patients showed a unilateral injured corporeal rupture. We took a circumferential coronal incision under the glans and repaired with absorbable stitch. At follow-up, eight of the nine patients who were available reported the achievement of an adequate erection for intercourse without erectile or voiding dysfunction.


CONCLUSIONS
All patients were treated surgically and recovered successfully. Therefore, immediate repair is recommended for the treatment of penile fracture.
Ishikawa
Tomomoto
T
Division of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Fujisawa
Masato
M
Tamada
Hiroshi
H
Inoue
Takaaki
T
Shimatani
Nobori
N
D000293:Adolescent; D000328:Adult; D003075:Coitus; D006801:Humans; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D012421:Rupture / Q000601:surgery; D016896:Treatment Outcome