Delayed surgical repair of penile fracture under local anesthesia.
BACKGROUND
Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis.


OBJECTIVE
To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours.


METHODS
Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out.


METHODS
A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination.


RESULTS
All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up.


CONCLUSIONS
Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.
Nasser
Taha Abdel
TA
Andrology and Sexology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Mostafa
Taymour
T
D000293:Adolescent; D000328:Adult; D000772:Anesthesia, Local; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000293:injuries* / Q000601:surgery; D012421:Rupture / Q000601:surgery; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D055815:Young Adult