Penile fracture: experience in 56 cases

Koifman, Leandro; Cavalcanti, André G.; Manes, Carlos Henrique; Filho, Daibes Rachid; Favorito, Luciano A.

doi:10.1590/s1677-55382003000100007

Cited by 81 publications

(83 citation statements)

References 21 publications

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“…False fracture was diagnosed in 8.8%, which is in harmony to the 4-10% range reported in the literature. 5,27 None of the patients with false fracture developed ED on follow-up in contrast to patients with bilateral corporal involvement who showed ED in 40% of cases. Patients with unilateral right or left corporal involvement had 6.5-5.2% incidence of ED, respectively.…”

Section: Discussionmentioning

confidence: 93%

“…Most recent studies favor early surgical repair because of the adequate functional and cosmetic results with minimal complications. [2][3][4][5][6][7][8][9][10] Late complications of penile fracture comprise ED, deviation of the erect penis, development of plaques resembling those of La Peyronie disease, urethrocavernous or urethrocutaneous fistula and poor urinary stream. [9][10][11][12] ED is a critical problem that may have serious physical and psychological consequences.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

et al. 2011

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This study was conducted to determine the preoperative and intraoperative risk factors of ED and the underlying penile vascular abnormalities among patients with penile fracture treated surgically. In all, 180 patients with penile fracture were treated surgically and followed up in one center. None of our patients had ED before the penile trauma and only two of them had risk factors for systemic vascular diseases, such as diabetes mellitus (one patient) and hypertension (one patient). After a mean follow-up of 106 months, 11 patients (6.6%) developed ED, 7 had mild ED and 4 had moderate ED. The main risk factors for subsequent ED were aging, 450 years, and bilateral corporal involvement. Among the 11 patients with ED, color Doppler ultrasonography (CDU) showed normal Doppler indices in 4 (36.4%), veno-occlusive dysfunction in 4 (36.4%) and arterial insufficiency in the remaining 3 (27.2%) patients. CDU assessments from the injured and intact sides were comparable. ED of either a psychological or vascular origin can be encountered as a long-term sequel of surgical treatment of penile fracture. Aging, 450 years, at presentation and bilateral corporal involvement is the main risk factors for subsequent development of ED.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

et al. 2011

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“…As given in the recently published literature, this rate ranges from 4 to 10%. 6,7 There have been six cases of superficial dorsal vein rupture, representing 2% of the 316 patients admitted with the diagnosis of penile fracture.…”

Section: Discussionmentioning

confidence: 99%

False penile fracture: report of 16 cases

et al. 2007

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We determined the value of diagnostic and therapeutic approaches of false penile fractures and the outcome of treatment. We retrospectively reviewed 16 cases of presumed penile fracture with a negative surgical exploration. Clinical presentation, technique of treatment and outcome were noted. The mean age was 39 years (17-64). Nine patients were injured during sexual intercourse. All the patients presented with the presumptive diagnosis of penile fracture. False penile fracture was evoked in one patient presenting a new erection. Surgical penile exploration was carried out for all the patients without any radiological explorations. It revealed nonspecific dartos bleeding in 10 cases and avulsed superficial dorsal vein in six cases requiring venous ends ligation. All the patients regained penile appearance and potency. We can hardly distinguish false penile fracture from 'true' penile fracture with certainty either clinically or radiologically, thus, surgical exploration is mostly necessary. The prognosis is excellent.

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“…Penile rupture is seen together with urethral injury in 10-20% of cases. In this case, urethral bleeding, hematuria and difficulty of urination may be seen [7][8][9]. Penile dorsal vein rupture developing during sexual intercourse is also a rare entity causing a clinical view similar to penile fracture.…”

Section: Introductionmentioning

confidence: 79%

“…Of all injuries, 38-50 % occurs during sexual intercourse [2]. At the time of the fracture, the patient typically hears a loud cracking noise associated with loss of erection, penile pain and swelling [6,7]. Penile rupture is seen together with urethral injury in 10-20% of cases.…”

Section: Introductionmentioning

confidence: 99%