Fracture of the penis

Eke, N

doi:10.1046/j.1365-2168.2002.02075.x

Cited by 218 publications

(330 citation statements)

References 96 publications

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“…Sexual intercourse was found to be the most important cause in western countries. 4 Those from the Middle East resulted mainly from penile manipulation; in a series of 373 patients, Zargooshi 19 indicated that the most common mechanism of fracture penis was acute bending of the erect penis in an attempt to achieve detumescence (76.4%). In our series, sexual intercourse was the main cause of trauma, similar to that reported in western countries.…”

Section: Discussionmentioning

confidence: 99%

“…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: 99%

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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“…During erection, the tunica albuginea thins down to between 2 mm and 0.25-0.5 mm, and as a result of the trauma, rupture of the tunica albuginea occurs when the intracavernous pressure exceeds 1500 mm Hg. 4,18 Generally, only one corpus cavernosum is affected but both the corpora and urethra may be involved. In all of our cases, the tunical tears were unilaterally (16 right, 14 left).…”

Section: Discussionmentioning

confidence: 99%

“…2,3 The best initial management of penile fracture is usually immediate surgical repair. [4][5][6] Immediate surgical intervention with evacuation of hematoma and repair of the ruptured tunica albuginea shows good functional results with low morbidity and short hospital stay. In earlier studies, a conservative regimen such as ice pack compresses followed by hot packs, foley catheterization or suprapubic urinary diversion, compression bandages, erectioninhibiting estrogens, antibiotics, and anti-inflammatory medicines were recommended.…”

Section: Introductionmentioning

confidence: 99%

“…12 Long-term complications of penile fracture repair reported in the literature include penile deviation, painful intercourse, painful erection, ED, priapism, skin necrosis, arteriovenous fistula, urethrocavernous fistula, and urethral stricture. 4 There is no doubt that penil fracture is a serious trauma for the patients who have experienced it, because of its physical component one may expect some psychogenic sequelae following this trauma. For example, some authors have attributed the causes of ED development after penile fracture to some psychogenic factors.…”

Section: Introductionmentioning

confidence: 99%

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No evidence of depression, anxiety, and sexual dysfunction following penile fracture

et al. 2011

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There is a gap in the literature about psychological status of patients following penile fracture surgery. We aimed to assess the long-term psychological status of penile fracture patients who have been treated by immediate surgical repair. A total of 32 patients with penile fracture have been treated surgically at our center. These 32 patients and 30 healthy control subjects were included in the study. All participants have completed the Hospital Anxiety and Depression Scale (HADS), Glombok-Rust Inventory of Satisfaction Scale (GRISS), and the premature ejaculation diagnostic tool (PEDT). The mean age of patients was 30.4 years and the mean body mass index was 27.3 kg m À2 . Sexual intercourse was the most common cause of the fracture. Immediate surgical repair was performed in all cases using a circumferential subcoronal incision and none of the patients had urethral injury intraoperatively. All tears were unilateral with a mean size of 1.5 cm. Only two patients had superficial dorsal vein rupture. At the day of assessment, the mean time elapsed after penile trauma was 15.9±6.3 months (range: 6-23). Only three patients had complications due to penile fracture including minimal penile curvature, penile nodule, and penile pain during intercourse. The mean scores obtained from PEDT, HADS, and GRISS did not show any statistically significant difference between groups. Anxiety, depression, premature ejaculation, and sexual dyssatisfaction levels were similar in both penile fracture patients who underwent immediate surgical repair and healthy control subjects. Immediate surgical repair of corporal ruptures have not shown any harmful psychogenic sequelae on patients with penile fracture.

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Traumatic Penile Injuries

Fredrick

Vanni

2021

A Clinical Guide to Urologic Emergencies

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Fracture of the penis

Abstract: Penile fracture is not rare. Radiological investigations are expensive and may delay treatment. Current management favours early surgical exploration to prevent complications.

Cited by 218 publications

References 96 publications

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

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

No evidence of depression, anxiety, and sexual dysfunction following penile fracture

Traumatic Penile Injuries

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