title: Long-term significance of the number of hours until surgical repair of penile fractures.
abstract: OBJECTIVE
  We investigated whether a delay in time until surgery, in terms of hours, has any effect on the overall long-term results of surgical repair of penile fractures.
  
  
  METHODS
  Between 2001 and 2009, we operated on 56 patients with penile fractures. We evaluated 43 patients sorted into 3 groups according to the time interval until surgery. We applied the validated Turkish version of the International Index of Erectile Function (IIEF) questionnaire 3 times: for the time period before the fracture, 1 year after the fracture, and at the time of the study. An erectile dysfunction score was calculated for every patient.
  
  
  RESULTS
  Overall, the mean follow-up was 46.1 ± 19.2 months. The mean number of hours from trauma to surgery was 11.3 ± 8.5. There was no statistically significant difference between the 3 groups in terms of age and length of tears. The results of the IIEF questionnaires of each group for time periods and for individual patients in each separate group were statistically similar.
  
  
  CONCLUSIONS
  Surgical repair has a good functional outcome and low complication rates in the long term. Neither serious deformities nor erectile dysfunction occur as a consequence of a delay in surgery in the long term in patients with no urethral involvement within a given period of time.
authors.affiliation: Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey. drzafko @ hotmail.com
authors.forename: Zafer
authors.initials: Z
authors.lastname: Kozacioglu
authors.forename: Tansu
authors.initials: T
authors.lastname: Degirmenci
authors.forename: Murat
authors.initials: M
authors.lastname: Arslan
authors.forename: Mehmet B
authors.initials: MB
authors.lastname: Yuksel
authors.forename: Bulent
authors.initials: B
authors.lastname: Gunlusoy
authors.forename: Suleyman
authors.initials: S
authors.lastname: Minareci
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D007172:Erectile Dysfunction / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000098:blood supply / Q000293:injuries / Q000294:innervation / Q000601:surgery*; D020127:Recovery of Function; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult