title: Surgical repair and analysis of penile fracture complications.
abstract: BACKGROUND
  The objective of this study is to describe and analyze the experience over a period of 10 years at our center through a retrospective study of a series of diagnosed and treated cases of penile fracture.
  
  
  METHODS
  From 2005 to 2009 the Urology Department of the Hospital Clínico San Carlos of Madrid carried out a retrospective case study of a total of 15 cases of penile fracture. The diagnosis was reached through physical exploration of the patient aided by a penile ultrasound; the immediate treatment performed on the patients was emergency surgical repair.
  
  
  RESULTS
  From the total in the series (n = 15), only 1 case was associated with a complete urethral fracture (6.6%). Surgical repair was performed in all cases; the average hospital stay was 2.6 days (range 1-5), and the most frequent long-term complication was erectile dysfunction in 3 of 15 cases (20%).
  
  
  CONCLUSIONS
  A penis fracture diagnosis is mostly clinical; complementary tests, such as ultrasound, are helpful but not definitive. Surgical treatment consists of an incision that allows adequate exposure of the corpora cavernosa and urethra to repair the suspected lesions found upon diagnosis. Ambulatory follow-up is essential to diagnose and treat possible complications.
authors.affiliation: Urology Department, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain. dr_jmoreno@hotmail.com
authors.forename: Jesús
authors.initials: J
authors.lastname: Moreno Sierra
authors.forename: Hector
authors.initials: H
authors.lastname: Garde Garcia
authors.forename: Cristina
authors.initials: C
authors.lastname: Fernandez Perez
authors.forename: Isabel
authors.initials: I
authors.lastname: Galante Romo
authors.forename: Cesar
authors.initials: C
authors.lastname: Chavez Roa
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Senovilla Perez
authors.forename: Angel
authors.initials: A
authors.lastname: Silmi Moyano
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000601:surgery*; D010413:Penis / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D012421:Rupture / Q000601:surgery; D013030:Spain; D016896:Treatment Outcome; D014465:Ultrasonics; D014463:Ultrasonography; D014521:Urethra / Q000473:pathology / Q000601:surgery*