title: The diagnosis and treatment of penile fracture: our 19-year experience.
abstract: BACKGROUND
  The aim of this study was to retrospectively evaluate our approach to the diagnosis and treatment of penile fracture.
  
  
  METHODS
  We retrospectively evaluated the results of 107 patients with penile fracture treated in our clinic between January 1990 and January 2009. Patient age, etiology of each fracture, history, physical examination results, radiologic findings, type of treatment, and postoperative complications were recorded. In 5 cases cavernosography was performed and in 8 cases retrograde urethrography.
  
  
  RESULTS
  The most common etiologies of penile fracture were coitus and manually bending the penis for detumescence. Diagnoses were made based on history and physical examination in 102 patients and cavernosography in 5 patients. In order to evaluate urethral injury in 8 cases, retrograde urethrography was performed. Rupture was repaired surgically in 101 patients, but 6 patients were treated conservatively. Among the 6 conservatively treated patients, 3 developed penile curvature 6 months post-treatment; no complications occurred in the surgically treated patients.
  
  
  CONCLUSIONS
  Cavernosography should be performed only when history and physical examination are insufficient for diagnosis, and retrograde urethrography should be performed when urethral injury is suspected. In order to prevent the development of penile curvature and to ensure rapid recovery, early surgical repair is advised.
authors.affiliation: Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. abgedik@gmail.com
authors.forename: Abdullah
authors.initials: A
authors.lastname: Gedik
authors.forename: Devrim
authors.initials: D
authors.lastname: Kayan
authors.forename: Sait
authors.initials: S
authors.lastname: Yamiş
authors.forename: Yakup
authors.initials: Y
authors.lastname: Yılmaz
authors.forename: Kamuran
authors.initials: K
authors.lastname: Bircan
mesh_terms: D000293:Adolescent; D000328:Adult; D003075:Coitus; D006406:Hematoma / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000473:pathology; D010410:Penile Erection; D010413:Penis / Q000293:injuries* / Q000473:pathology; D011859:Radiography; D012189:Retrospective Studies; D012421:Rupture / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014521:Urethra / Q000000981:diagnostic imaging / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications; D055815:Young Adult