title: Management of penile fracture and its outcome.
abstract: OBJECTIVE
  To describe the management and outcome of patients with penile fracture.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Department of Urology and Renal Transplantation, Jinnah Hospital, Lahore, from March 2008 to March 2011.
  
  
  METHODS
  Sixteen patients presenting with clinical findings / history of penile fracture were included in this study. Diagnosis was made on the basis of history and clinical findings. Surgical exploration and repair was done on the same day. In all patients, a subcoronal circumferential degloving incision was made. Rent location and dimensions management and postoperative complication were noted. Postoperatively, erection was suppressed for 4 - 5 days. All patients were discharged with advice of avoidance of sex for about 8 weeks. Patients were followed-upto 6 months.
  
  
  RESULTS
  Majority of the patients (87.5%) were married and 13 (81.25%) were aged 18 - 45 years. The typical findings recorded in 100.0% patients were erection at time of fracture, detumescence, swelling and ecchymosis. Audible crackling sound and pain was present in 13 (81.25%) patients. Ten (62.5%) patients had rent in the proximal part of penile shaft and right lateral tear was present in 11 (68.75%) patients. Blood clots were evacuated and closure of rent was done with vicryl 2/0 (interrupted stitches). 100.0% patients had uneventful recovery with only 3 (18.75%) patients developed right chordae of erect penis after treatment. All (100.0%) patients were potent and without any problem of erection.
  
  
  CONCLUSIONS
  Penile fracture is under-reported. A trauma to erect penis is essential to cause fracture. Surgical exploration and repair is the treatment of choice.
authors.affiliation: Department of Urology, Jinnah Hospital, Lahore / Allama Iqbal Medical College, Lahore.
authors.forename: Zafar Iqbal
authors.initials: ZI
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D000328:Adult; D003075:Coitus; D006801:Humans; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D010410:Penile Erection; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D012307:Risk Factors; D012421:Rupture; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D055815:Young Adult