Objective: Penile fractures are infrequent cases in urological emergencies and 21 patients (23 cases) that were treated at our clinic together with relevant literature were discussed in this study. Methods: The medical data of patients with penile fracture from 1999 to 2009 was collected and retrospectively analyzed. All patients were clinically diagnosed as penile fracture. Information was updated by phone interview and patients were asked if they had sufficient erection for vaginal penetration. Associated literature was obtained from PubMed using the key word ‘penile fracture’. Results: Twenty-one patients presented with penile fracture. Nineteen patients (82.6%) came from urban areas and 14 patients (60.8%) had penile fracture during sexual intercourse. Two patients had a second penile fracture. Twenty-two patients evaluated with clinical presentation and did not need any imaging tools. A retrograde urethrogram was performed only on one patient who was in urinary retention and this patient was diagnosed as fracture of the corpus spongiosum with complete urethral rupture. Seventeen patients (73.9%) were treated with urgent surgical repair. One patient suffered from intact bilateral corporeal bodies in surgery and only one patient had wound infection after surgery. Six patients (26.1%) were followed-up conservatively. The rate of erectile dysfunction after surgery and conservative treatment was 11 and 33.3%, respectively. Time to resume normal sexual function was a mean of 4.9 months (1 to 24 months). Conclusion: As an Asian-European country the etiologies in our study were more similar to Western types. Diagnosis was usually based on patient’s history and examination of the penis. Urethral examination should not be forgotten. Early surgery was successful, similar with the literature. Also we have to notice those patients for which vigorous sexual action causes a second fracture.

Keywords:
Penile erection, Penile fracture, Penis, Penis trauma
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© 2011 S. Karger AG, Basel
2011
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