title: Penile fracture: retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome.
abstract: OBJECTIVE
  To review the cases of patients with suspected penile fracture and asses erectile and sexological outcomes.
  
  
  METHODS
  from 1987 to 2013 presented to the Urology Clinic of Trieste and at the AIED of Pordenone a total of 41 cases that were divided into two groups according to the timing of treatment: 18 patients with anamnestic diagnosis of penile fracture treated nonimmediately and 23 patients treated immediately after the trauma. For all patients we evaluated the type of treatment adopted, the occurrence of complications and reoperations and the follow-up. The erectile function was also evaluated through the IIEF, as well as the psychological impact of the trauma on social and sex life, using a psycho- sexological questionnaire.
  
  
  RESULTS
  Among patients treated immediately after the trauma 14 were subjected to surgery. About a year after surgery, penile curvature was reported in 1 patient, pain in 3 patients, urinary disorders in 1 patient, while none reported erectile dysfunction (ED). Out of these, only 3 patients underwent reoperation. Among those treated conservatively 1 patient reported curvature, 1 patient reported pain and none reported ED. Among patients who were admitted at a later date, 14 reported curvature and 4 reported pain whereas urinary disorders were reported in 1 and ED in 4 patients. From a psychological point of view, the trauma caused in most cases a fear of new trauma and of repercussions on erectile function and sensitivity.
  
  
  CONCLUSIONS
  The diagnosis is mainly clinical; however, radiological investigation is essential to confirm the diagnosis, assess the site and extent of the trauma and possible urethral involvement, so as to plan the most appropriate treatment. In addition, immediate treatment leads to better long-term results, with a lower incidence of ED and penile curvature. Psychologically, penile trauma intensifies the fear of reoccurrence; it decreases, however, with the passage of time.
authors: Urology Department, Cattinara Hospital, University of Trieste. nicpavan@gmail.com.
authors: Nicola
authors: N
authors: Pavan
authors: Giorgia
authors: G
authors: Tezzot
authors: Giovanni
authors: G
authors: Liguori
authors: Renata
authors: R
authors: Napoli
authors: Paolo
authors: P
authors: Umari
authors: Michele
authors: M
authors: Rizzo
authors: Giovanni
authors: G
authors: Chiriacò
authors: Gaetano
authors: G
authors: Chiapparrone
authors: Francesca
authors: F
authors: Vedovo
authors: Michele
authors: M
authors: Bertolotto
authors: Carlo
authors: C
authors: Trombetta
mesh_terms: D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries*; D012189:Retrospective Studies; D012421:Rupture; D013997:Time Factors; D055815:Young Adult