[Penile fracture epigrams from our experience in 15 Sudanese patients]

ABSTRACT

To review clinical pattern and outcome of fracture penis retrospectively from January 2000 to January 2008 in Gezira hospital for renal diseases and surgery, Sudan. Total number of patients were 75 and the range of age was 15-45 years with a mean age of 25 years. Diagnosis was established mainly through clinical work up. Most patients were subjected to a surgical intervention. The defects in the tunica was approximated by the used 2-0 proleine with inverted knot and/or delayed absorbable sutures and Foley catheter was routinely fixed after insurance of the integrity of the urethra. Most of cases presented with penile pain [13 patients, 87%], swelling due to extension of a haematoma [9 patients, 60%], bruises and detumescence [10 patients, 67%], curvature and fracture of erection were the presenting claim for the delayed patients [3 patients, 20%]. Most of them developed complications [8 patients, 53%], this included [4 patients, 27%] developed erectile, dysfunction, [2 patients, 13%] developed curvature and one patients [6%] developed calcification urethral stricture. We concluded that early surgical intervention, antibiotics administration and early seeking of medical advice are recommended in order to preserve penile function in cases of fracture penis. Investigations got minor role in the diagnosis of fracture penis