title: Fracture of the penis: management and long-term results of surgical treatment. Experience in 300 cases.
abstract: BACKGROUND
  Herein, we present the largest series of penile fracture ever published. We evaluate the clinical presentation, the outcome of the treatment and the prognosis.
  
  
  METHODS
  We retrospectively studied patients with penile fracture treated from 1975 to 2005.
  
  
  RESULTS
  Three hundred patients were included in this study. The mean patient age was 30 years (range, 18-68 years). Out of these patients, 57 (19%) patients were injured during sexual intercourse, whereas 180 (60%) patients were injured during masturbation. The mean time from injury to presentation was 26 hours. The diagnosis was clinical in all cases. No further investigation was needed for confirming the diagnosis. Five patients had urethral bleeding with urethral lesion. All patients were treated by immediate surgery. All of the patients had a tunica albuginea tear that was promptly repaired. At follow-up (mean time of 7 years), 14 patients presented mild curvature, which had not hindered intercourse in 10 patients. The Nesbit intervention was performed in four patients. Penile pain at intercourse developed in four patients (1.3%) and at erection in six patients (2%). Erectile dysfunction was observed in two cases (0.6%).
  
  
  CONCLUSIONS
  Penile fracture has typical clinical signs. Early surgical treatment is associated with a low incidence of late complications. The high frequency in our area is neither because of physical nor genetic particularities. It is probably because of sociocultural characteristics.
authors.affiliation: Department of Urology, Charles Nicolle Hospital, Tunis-Tunisia, USA. atat_rabii@yahoo.fr
authors.forename: Rabii
authors.initials: R
authors.lastname: El Atat
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sfaxi
authors.forename: Mohamed Riadh
authors.initials: MR
authors.lastname: Benslama
authors.forename: Derouiche
authors.initials: D
authors.lastname: Amine
authors.forename: Mohsen
authors.initials: M
authors.lastname: Ayed
authors.forename: Sami Ben
authors.initials: SB
authors.lastname: Mouelli
authors.forename: Mohamed
authors.initials: M
authors.lastname: Chebil
authors.forename: Saadedine
authors.initials: S
authors.lastname: Zmerli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003075:Coitus; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D010413:Penis / Q000293:injuries* / Q000601:surgery; D012189:Retrospective Studies; D014416:Tunisia / Q000453:epidemiology; D014521:Urethra / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000453:epidemiology / Q000601:surgery