title: Sexual function outcomes following fracture of the penis.
abstract: BACKGROUND
  Fracture of the penis is a rare urological emergency which occurs as a result of abrupt trauma to an erect penis. There is paucity of data regarding long-term sexual function or erectile potency following fracture of the penis. The aim of this study is to objectively assess the overall sexual function following fracture of the penis.
  
  
  METHODS
  A retrospective analysis of 21 penile fractures was performed. A voluntary telephone questionnaire was performed to assess long term outcomes using three validated questionnaires-the Erection Hardness Grading Scale, the International Index of Erectile Function (IIEF-5) and the Brief Male Sexual Function inventory (BMSFI).
  
  
  RESULTS
  The mean age was 33.1 years (range: 19-63). The median follow up was 46 months (range: 3-144). All fractures were a result of sexual misadventure and all were surgically repaired. There were two concomitant urethral injuries. Seventeen patients were contactable. Fourteen patients demonstrated no evidence of erectile dysfunction (ED) (IIEF-5>22), 1 patient reported symptoms of mild ED (IIEF-5, 17-21) and one patient reported mild to moderate ED (IIEF-5, 12-16). No patients reported insufficient erection for penetration (EHGS: 1 or 2). Regarding the overall BMSFI, 13 (83%) patients were mostly satisfied or very satisfied with their sex life within the previous month.
  
  
  CONCLUSIONS
  In a small surgical series of men with penile fracture managed within a short time frame from presentation, we demonstrate erectile potency is maintained. Long-term overall sexual satisfaction is promising.
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Nason
authors.forename: Barry B
authors.initials: BB
authors.lastname: McGuire
authors.forename: Stephen
authors.initials: S
authors.lastname: Liddy
authors.forename: Aisling
authors.initials: A
authors.lastname: Looney
authors.forename: Gerald M
authors.initials: GM
authors.lastname: Lennon
authors.forename: David W
authors.initials: DW
authors.lastname: Mulvin
authors.forename: David J
authors.initials: DJ
authors.lastname: Galvin
authors.forename: David M
authors.initials: DM
authors.lastname: Quinlan
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