ABSTRACT
PURPOSE: Penile fracture is described as a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. In this study, we aimed to compare conservative and surgical treatment modalities. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 34 patients who visited our hospital with penile fracture and two treatment modalities were compared: conservative (Group I) and surgical (Group II). The five men who refused surgical treatment were treated conservatively, and the other 29 patients underwent surgical treatment. RESULTS: The most common cause of fracture was sexual intercourse (21/34, 61.8%). The most common sites of fracture were the right (67.6%), ventral (67.6%), and proximal (47.1%) parts of the penis. In Group II, only complication was painful erection (2/29, 6.9%), whereas in group I, 80% (4/5) suffered complications such as wound infection, painful erection, penile nodules with curvature, and erectile dysfunction. All patients treated with surgery successfully recovered without erectile dysfunction. CONCLUSIONS: Because surgical management gives excellent results, shorter hospitalization, less morbidity, surgical treatment is more effective approach than conservative treatment.
Subject(s)
Humans , Male , Coitus , Erectile Dysfunction , Hospitalization , Medical Records , Penile Erection , Penis , Retrospective Studies , Rupture , Urologic Surgical Procedures, Male , Wound Infection , Wounds, NonpenetratingABSTRACT
Penile torsion is commonly encountered. It can be caused by skin and dartos adherence or Bucks fascia attachments. The authors suggest a new surgical approach to solve both problems. If Bucks fascia involvement is demonstrated by artificial erection then a new diagonal corporal plication suture is described to effectively solve this problem.