Fracture of the penis and its surgical management

ABSTRACT

Rupture of the corpora cavernosa is an uncommon injury resulting from a direct blow to the fully erected penis. Only 200 cases have been reported in the world literature and this condition constitutes only one in every 175000 hospital admissions in the U.S.A. Although this condition is easily recognized, there is a great deal of controversy about its management. Conservative treatment is not satisfactory and is accompanied by a high incidence of late complications. In this study the work on 12 patients with this condition as regards predisposing and causative factors is reported. The way of management in the form of immediate surgical exploration, sharp trimming and primary repair of the tunica albuginea is also advocated with the use of a tunica vaginalis graft to patch defects in the tunica albuginea in the severe cases. The results are encouraging and the patients regained full erection after one month. The early surgical repair of the ruptured corpora cavernosa is recommended as the method of choice