[Management of penile fracture]

Objectives: To evaluate our experience with the management of penile fractures

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Patients and Methods: We retrospectively studied 30 cases of trauma to the erect penis seen at the Urology Department of Mohammed VI University Hospital, Marrakech, Morocco between January 2001 and January 2004. In general, the patients presented between 3 hours and 10 days after the injury, however the majority [25 patients] presented within 12 hours after the injury. The mean age of the patients was 33 years [range: 17 - 70 years]. The diagnosis of penile fracture was entirely based on clinical features. The commonest cause of penile fracture was violent sexual intercourse [12 cases]. The injury involved unilateral corporeal rupture in all patients with the length of the fracture site varying from 1 to 3 cm. Surgery involved an elective incision on the site of the fracture in all patients. Hospital stay ranged from 1 to 2 days. All patients were followed up for at least 6 months

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Results: The postoperative period was uneventful in all patients but one who developed infection of the incision. At follow-up 3 months after the intervention, all patients were able to have a painless sexual intercourse and reported an adequate erection without erectile dysfunction or penile curvature

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Conclusion: Our results show that an elective incision is a reliable method to treat unilateral penile fracture without urethral trauma