Résumé
Objective: To analyze the diagnostic and therapeutic aspects of fracture of the corpus cavernosum and compare our results with those in the literature
Patients and Methods: Between January 1976 and June 2002, 123 cases of fracture of the corpus cavernosum were treated at our department. The mean age of the patients was 25 years. In the majority of cases [71.5%], fracture of the penis occurred by forced manipulation of the erected penis. The diagnosis was based on clinical examination. The patients were treated surgically by repair of the tunica albuginea, mostly [74 cases] after degloving of the penile skin. One case of ureteral rupture was encountered after fracture of both corpora cavernosa
Results: In 95 patients, the postoperative outcome was satisfactory. However, 8 cases of fibrous plaques and 4 cases of penile curvature were encountered. None of our patients experienced postoperative erectile dysfunction
Conclusion: Fracture of the corpus cavernosum is a pathology which remains quite rare. The diagnosis is based on clinical examination and treatment is surgical in the majority of cases. The outcome of the treatment of such fractures is usually satisfactory provided the patients present at an early stage