Management of penile fracture.
BACKGROUND
Penile fracture is not a frequent event. It consists of rupture of the tunica albuginea of the corpora cavernosa. Fracture occurs when the penis is erect, as the tunica is very thin and not flexible.


METHODS
This prospective study was carried out over a period of 1 year and included 12 patients presenting with penile fracture.


RESULTS
Diagnosis was made clinically, and there was no need to perform cavernosography in any case. The most common cause of fracture was trauma to the erect penis during intercourse. Mean age of patients was 29.5 (+8.96) years, and mean time of presentation was 15.5 (+8.04) hours. Subcoronal circumferential degloving incision was done in all cases. Nine patients were operated on, and three patients refused surgery and were treated conservatively. Repair consisted of evacuation of hematoma and repair of the tunical defect with absorbable sutures. The mean operative time was 33.9 (+8.2) minutes. Preoperative and postoperative antibiotics were used, and all operated cases were discharged on the second postoperative day. All operated cases were able to achieve full erection with straight penis except one, in whom mild curvature and pain during erection was observed.


CONCLUSIONS
Penis fracture is a true urologic emergency. It should be treated surgically as early as possible to ensure a better outcome.
El-Taher
Ahmad M
AM
Urology Department, Faculty of Medicine, Assiut University, Assiut, Egypt. aldanan67@hotmail.com
Aboul-Ella
Hassan A
HA
Sayed
Mohamed A
MA
Gaafar
Atef A
AA
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003075:Coitus; D017679:Cryotherapy; D004438:Ecchymosis / Q000209:etiology; D004487:Edema / Q000209:etiology; D004534:Egypt / Q000453:epidemiology; D004630:Emergencies; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D010410:Penile Erection; D010413:Penis / Q000293:injuries*; D011446:Prospective Studies; D012307:Risk Factors; D012421:Rupture; D013536:Suture Techniques; D016896:Treatment Outcome; D014546:Urinary Catheterization; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*
D000900:Anti-Bacterial Agents