Penile Fracture: Our Experience in a Tertiary Care Hospital

PURPOSE: 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. MATERIALS AND 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.

Fratura peniana: diagnóstico e tratamento / Penile fracture: diagnosis and treatment

A fratura do pênis é definida como a ruptura da túnica albugínea do corpo cavernoso que ocorre exclusivamente durante a ereção. O principal mecanismo de trauma é o intercurso sexual traumático. Devido ao baixo número de casos, alguns pontos do tratamento ainda são controversos, entretanto, é recomendada a intervenção cirúrgica imediata. Este estudo retrospectivo observacional realizado entre abril de 2006 e abril de 2008 descreve os resultados da abordagem cirúrgica em 11 pacientes com fratura peniana tratados no Hospital Alberto Cavalcanti - FHEMIG. Foram avaliadas as características dos pacientes, o mecanismo do trauma, o tipo da lesão e as complicações no per e no pós-operatório imediato.

Objectives: To review the diagnostic and therapeutic options in patients with penile fracture and describe our experience. Patients & Methods: From April 2006 through April 2008, eleven consecutive men with diagnosis of penile fracture were treated at "AlbertoCavalcanti" Hospital. The etiology, interval from injury to presentation, presence of associated injuries and immediate postoperative complications were evaluated. Results: All patients were submitted to surgical intervention and nine had the diagnosis confirmed.None of them had per-operative complications. One patient had skin infection in the post-operative period. Conclusions: Penile fracture can be clinically diagnosticated, the management should be surgical and immediate.