Penile fracture in Kermanshah, Iran: the long‐term results of surgical treatment

Abstract

Objective To determine the long-term outcome of the surgical management of penile fracture. Patients and methods

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

“…26 The right side was commonly affected (56.1%) in agreement with many reports. 6,15 An explanation to this was proposed by Ateyah et al 15 by the fact that most patients are right-handed where they manipulate the penis to the left side that may result in right-sided tears. False fracture was diagnosed in 8.8%, which is in harmony to the 4-10% range reported in the literature.…”

“…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.…”

“…11,13 Contemporary series showed that the incidence of ED after surgical repair of fracture penis ranges from 0% up to 16.6%. 6,7,[13][14][15][16][17][18][19] Several important issues may be raised during discussing the development of ED after surgical repair of fracture penis. First, is delayed presentation after trauma a risk factor for ED?…”

Fracture penis with urethral disruption & scrotal hematoma: A case report

“…In Middle Eastern countries the common cause is physical manipulation of the penis to remove an erection. 5,7 Although, most injuries that result from masturbation come from forcibly handling an erection without care and fracturing it. Rarely it may occur while turning over in bed, forced bending, or hastily removing or applying clothing when the penis is erect in over enthusiasm.…”

Early surgical repair of penile fractures

“…2 In Middle Eastern countries, a large percentage is due to forceful bending of the erect penis to achieve detumescence, a practice known as 'Taghaandan'. 3 Because of the rarity of this condition, the optimal diagnostic approach and management is still controversial.…”