title: Does timing of presentation of penile fracture affect outcome of surgical intervention?
abstract: OBJECTIVE
  To assess the effect of timing of presentation of cases with penile fracture on the outcome of surgical intervention.
  
  
  METHODS
  Between January 1986 and May 2010, 180 patients with penile fracture were treated surgically in our center. To assess the effect of timing of presentation, patients were classified into 2 groups: group I with early presentation (≤24 hours) and group II with delayed presentation (>24 hours). All patients were contacted by mail or phone and were re-evaluated. All patients were reevaluated by questionnaire and local examination. Patients with erectile dysfunction were evaluated by color Doppler ultrasonography.
  
  
  RESULTS
  Group I included 149 patients (82.8%) and group II included 31 (17.2%). In group I, patients presented to the emergency department from 1-24 hours (mean, 11.8) after occurrence of the penile trauma. Although patients in group II presented from 30 hours to 7 days (mean, 44.7 hours). Both groups were similar regarding etiology of injury, clinical presentation, surgical findings, and incidence of associated urethral injury. Mean follow-up period for group I was 105 months, and for group II it was 113 months. After such long-term follow up, 35 (19.4%) patients had complications; however, there was no statistically significant difference between both groups.
  
  
  CONCLUSIONS
  Cases of penile fracture with early or delayed presentation up to 7 days should be managed surgically. Both groups have comparable excellent outcome with no serious long-term complications.
authors: Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt. a_assmy@yahoo.com
authors: Ahmed
authors: A
authors: el-Assmy
authors: Hossam S
authors: HS
authors: el-Tholoth
authors: Tarek
authors: T
authors: Mohsen
authors: el-Housseiny I
authors: el-HI
authors: Ibrahiem
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004632:Emergency Medical Services / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D010413:Penis / Q000601:surgery; D012421:Rupture / Q000601:surgery; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000209:etiology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler / Q000379:methods; D013520:Urologic Surgical Procedures / Q000379:methods