Penile fracture with bilateral corporeal rupture without urethral involvement

Yonguç, Tarık; Bozkurt, İbrahim Halil; Ors, Bumin; Kozacıoğlu, Zafer; Arslan, Burak; Yonguc, Goksin Nilufer

doi:10.5489/cuaj.1226

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Rupture of the right, and left cavernous bodies were detected in 2 (4%) cases either without involvement of the corpus spongiosum (n=1) or associated with urethral laceration (n=1). [10] We observed blood on external meatus of 2 (4%) patients. Mucosal laceration of the urethra in 4 (7%) patients were repaired using 4/0 absorbable interrupted sutures with primary closure of firstly mucosa, and then corpus spongiosum.…”

Section: Resultsmentioning

confidence: 99%

An update of Penile Fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes

Kozacıoğlu¹,

Ceylan²,

Aydoğdu³

et al. 2017

Turkish Journal of Urology

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Objective: We updated our data on penile fractures and investigated the significance of the time interval from the incident of the fracture until the operation on the erectile functions and long-term complications. Material and methods:Between January 2001 and June 2014, 64 patients were operated on with a preoperative diagnosis of penile fracture. We could evaluate 54 of these patients. The patients were classified into 3 groups according to the time interval from the time of fracture until surgery. The validated Turkish version of the erectile components of International Index of Erectile Function (IIEF) was answered by every patient 3 times after the surgery; before the incident of fracture, at first postoperative year, and at the time of the study (IIEF-5 and question #15 were used). The complications were noted and an erectile function index score was calculated for every patient.Results: Mean follow up period was 44.9 (±2.8) months for all patients There was no statistically significant difference between the 3 groups in terms of the erectile components of IIEF questionnaire scores for the time periods and for individual patients in each separate group. Complications for all groups were also similar. Conclusion:In consideration of long-term results, neither serious deformities nor erectile dysfunction occur as a consequence of a delay in surgery performed within the first 24 hours in patients without urethral involvement.

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Section: Resultsmentioning

confidence: 99%

An update of Penile Fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes

Kozacıoğlu¹,

Ceylan²,

Aydoğdu³

et al. 2017

Turkish Journal of Urology

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“…2,3,5 Penile fracture with bilateral corporal laceration also indicates high-energy trauma and there are only two case reports of bilateral corporal involvement without concomitant urethral rupture. 14,15 Neither of these cases had an etiology of sexual intercourse with one caused by self-manipulation 14 and the other by blunt trauma. 15 Amit et al reported eight concomitant urethral rupture cases with one bilateral involvement with complete urethral disruption.…”

Section: Discussionmentioning

confidence: 95%

Urethral rupture concomitant with penile fracture does not adversely affect functional outcomes

et al. 2022

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Introduction: The aim of this study was to identify possible risk factors for urethral rupture and to evaluate the effect of urethral rupture repair on long-term functional outcomes and complications. Materials and methods: The medical records of consecutive penile fracture patients were retrospectively reviewed. Penile fracture patients with and without urethral rupture were compared according to demographics, clinical and intraoperative findings. Comparisons of postoperative functional results of the groups were performed using the 5-item version of the International Index of Erectile Function (IIEF-5) and the International Prostate Symptom Score (IPSS). Finally, among them, long-term penile complications including penile curvature, painful erection, palpable nodule, and paresthesia were assessed. Results: Fifty-three patients participated. Patients with urethral rupture ( n = 8) were older (44.50 ± 10.69, 36.58 ± 10.33 years, p = 0.052). There was no significant difference in fracture etiology ( p = 0.64). Urethral bleeding was present only in patients with urethral rupture ( p < 0.001). Although no bilateral corpus cavernosum rupture was encountered in penile fracture patients without urethral rupture, this rate was significantly higher in those with urethral rupture at a rate of 62.5% ( p < 0.001). The time from surgical repair to sexual activity was similar in both groups ( p = 0.66). There was no significant difference in IPSS and IIEF-5 scores, the presence of erectile dysfunction and complication rates ( p > 0.05). Conclusions: Older age is a possible risk factor for a concomitant urethral rupture with penile fracture and it seems to be associated with urethral bleeding and bilateral corpus cavernosum involvement. Additionally, urethral rupture repair neither adversely affected functional outcomes nor increased penile complication rates.

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“…A PF with bilateral corporal lacerations is thought to indicate high-energy trauma. Urethral damage may also occur in the presence of bilateral corporal lacerations due to such kind of trauma [18]. In the literature, the rate of bilateral cavernosal rupture after PF is reported to range between 0% and 26.3%, while urethral damage occurs in 5.8-27.5% of cases [9,19].…”

Section: Discussionmentioning

confidence: 99%

Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures

Keskin,

Can,

Filtekin

et al. 2024

Int J Impot Res

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This study aimed to compare the erectile and ejaculatory functional outcomes of unilateral and bilateral ruptures of the corpus cavernosum in penile fractures. Sixty patients’ data were analyzed retrospectively between June 2020 and January 2023. The patients were divided into two groups based on the affected corpus cavernosum (unilateral and bilateral). Preoperative and postoperative 3rd-, 6th-, and 12th-month self-estimated intravaginal-ejaculation-latency-time (IELT), and international index of erectile function-erectile function (IIEF-EF) scores as well as the presence of urethral injury were compared. Bilateral corpus cavernosum fractures were detected in 18.3% of the patients. The IIEF-EF scores of both groups at 3rd-, 6th-, and 12th-month were found to be significantly lower than the preoperative scores (unilateral group:24.1 ± 2.7 vs 23.2 ± 3.5 and 23.3 ± 3.4, respectively, p = 0.011 and 0.014, respectively; bilateral group: 24 ± 1.9 vs 23 ± 1.8 and 23.2 ± 1.5, respectively, p = 0.027 and 0.047, respectively). No significant difference was found between the preoperative and the postoperative 12th month IIEF-EF scores in either group (unilateral group: 24.1 ± 2.7 vs 23.4 ± 3.6, p = 0.207;bilateral group:24 ± 1.9 vs 23.2 ± 1.5, p = 0.057). The self-estimated IELTs of both groups at the postoperative 3rd, 6th, and 12th months demonstrated a significant increase from the preoperative values (unilateral group: 221.6 ± 81.8 vs 252 ± 94.6, 256.5 ± 97.6, and 250.5 ± 104.8, respectively, p < 0.001; bilateral group:241.8 ± 61.6 vs 278.1 ± 55.4, 281.8 ± 56.1, and 283.6 ± 54.2, respectively, p = 0.041, 0.030, and 0.047, respectively). The changes in self-estimated IELTs and IIEF-EF scores between the preoperative period and the postoperative 3rd, 6th, and 12th-months were compared, and no statistical difference was found between patients with unilateral and bilateral corpus cavernosum fractures (p > 0.05). In conclusion, no significant difference in erectile function was found in either group at the 12-month follow-up, and the self-estimated IELTs were found to be prolonged in both groups. Furthermore, no difference was noted between the groups at any follow-up. To explain the effects of unilateral and bilateral injuries on erectile and ejaculatory functions, further studies with a larger-number of patients are necessary.

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Penile fracture with bilateral corporeal rupture without urethral involvement

Cited by 5 publications

References 14 publications

An update of Penile Fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes

An update of Penile Fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes

Urethral rupture concomitant with penile fracture does not adversely affect functional outcomes

Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures

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