Penile Fracture: Our Experience in a Tertiary Care Hospital.
OBJECTIVE
Penile fracture is rare, but it is a urological emergency that always requires immediate attention. Moreover, penile fracture has been reported more frequently in recent years. It may have devastating physical, functional, and psychological consequences if not properly managed in time.


METHODS
The objective of this study was to highlight the causes, clinical presentation, and outcomes of cases of penile fracture. This was a prospective observational study extending from November 2012 to November 2014. Each patient underwent a thorough clinical evaluation and received proper treatment.


RESULTS
Twenty patients with penile fracture, aged 19 to 56 years (mean, 28 years) were evaluated in this study. Vaginal intercourse was the most common mechanism of injury. Most of the patients (95%) were diagnosed clinically with a proper history and clinical examination. Nineteen patients were treated surgically. The patients underwent six months of follow-up, and were evaluated with local examinations, questionnaires, and colour Doppler ultrasonography as necessary.


CONCLUSIONS
Although penile fracture is an under-reported urological emergency, its incidence is increasing. It is usually diagnosed based on a clinical examination, but ultrasonography can be very helpful in diagnosis. Especially in cases where treatment is delayed, surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications.
Department of Urology, Institute of Post-Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.
Rajkumar Singha
RS
Mahapatra
Department of Urology, Institute of Post-Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.
Anup Kumar
AK
Kundu
Department of Urology, Institute of Post-Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.
Dilip Kumar
DK
Pal
Penile diseases; Penile prosthesis; Penis injuries; Urogenital system