Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption.
OBJECTIVE
Penile fracture with concomitant complete urethral disruption is an uncommon urologic disorder. Data about the treatment and outcome measurements of this condition are scarce in the literature. The aim of the present study is to evaluate the long term urinary and sexual functions of patients with penile fracture associated with complete urethral injury after immediate surgical reconstruction.


METHODS
Twelve patients met our inclusion criteria and were included in this retrospective case series study; however, one was lost during follow-up. Patient's medical records were reviewed and all patients were interviewed for clinical evaluation. Urinary function was assessed by history, uroflometry and retrograde urethrography, while, sexual function was assessed by questionnaire (Sexual Health Inventory for Men) and penile Doppler for patients with erectile dysfunction.


RESULTS
Patients' mean age was 32.3 ± 7.5 years (range 21-43) and the mean follow-up period was 72.6 ± 45.4 months (range 14-187). Vigorous sexual intercourse was the main cause in 91% of our patients. No serious long term complications was found. Only 1 patient (9%) suffered from anterior urethral stricture, 1 patient (9%) complained of weak erection, 3 patients (27%) had a palpable fibrosis and 2 patients (18%) reported a slight penile curvature during erection. Ninety one percent of all our patients maintained their normal urinary and sexual functions.


CONCLUSIONS
On the long term follow-up, most of the patients maintained their normal erectile and voiding functions with no harmful long-term complications. We advocate immediate surgical intervention and reconstruction of both corpora cavernous and urethra as a first line treatment for those patients.
Urology Department, Tanta University Hospital. mbendary@hotmail.com.
Ali Abdel
AA
Raheem
Hassan
H
El-Tatawy
Ahmed
A
Eissa
Abdel Hamid
AH
Elbahnasy
Mohamed
M
Elbendary
D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010410:Penile Erection; D010413:Penis / Q000293:injuries / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D012421:Rupture / Q000601:surgery; D016896:Treatment Outcome; D014521:Urethra / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001743:Urinary Bladder / Q000503:physiopathology; D013521:Urologic Surgical Procedures, Male; D014949:Wounds, Nonpenetrating / Q000601:surgery*