title: Penile fracture: long-term results of surgical and conservative management.
abstract: BACKGROUND
  Penile fracture usually results from direct trauma to the erected penis. We evaluate the outcomes of surgical and conservative treatment.
  
  
  METHODS
  Between February 2000 and February 2007, 77 patients with mean age 29 ± 2.5 years (range, 20-57 years) with penile fracture were evaluated retrospectively. A total of 56 patients (group A) were treated with immediate surgical repair and 21 patients (group B) were treated conservatively as they refused surgical intervention. Data on erectile function and any penile sequel were obtained during follow-up using the International Index of Erectile Function (IIEF-15) questionnaire, local examination, and color Doppler ultrasonography reports.
  
  
  RESULTS
  Only 69 patients were available for median follow-up period of 20.8 months (range, 17-30 months), 51 patients of the group A and 18 of the group B. Injury involved unilateral and bilateral corporeal rupture in 50 and 6 cases, respectively. Concomitant urethral injury was detected in three cases. During follow-up, 49 cases (96%) of the surgical group (A) and 9 cases (50%) of the conservative group (B) reported erection adequate for intercourse, with no voiding dysfunction and no penile curvature. However, the remaining nine patients (50%) from the conservative group (B) reported erectile dysfunction and penile deviation.
  
  
  CONCLUSIONS
  Immediate surgical repair of the penile fracture gave good results and is superior to conservative treatment; however, we cannot distinguish false from true penile fracture accurately to determine on whom we can use the conservative treatment.
authors.affiliation: Department of Urology, Sohag University, Sohag, Egypt. wael_saad_el_dien@hotmail.com
authors.forename: Wael M
authors.initials: WM
authors.lastname: Gamal
authors.forename: Mahmoud M
authors.initials: MM
authors.lastname: Osman
authors.forename: Ahmed
authors.initials: A
authors.lastname: Hammady
authors.forename: M Zaki
authors.initials: MZ
authors.lastname: Aldahshoury
authors.forename: Mohamed M
authors.initials: MM
authors.lastname: Hussein
authors.forename: Mohamed
authors.initials: M
authors.lastname: Saleem
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D012421:Rupture; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014947:Wounds and Injuries / Q000628:therapy