Objective: In the present review we discuss the clinical presentation and the surgical approach, together with the intraoperative findings and postoperative complications which occurred in 7 patients presented for our observation with a penile injury and submitted to immediate surgical exploration. Materials and Methods: Our series, despite the relatively small number of cases, provide a complete pattern of the different intraoperative findings that may be encountered when approaching a penile trauma. This includes extremely rare cases like a completely transected urethra, a fracture at the base of the penis and a rupture of the deep dorsal vein. Conclusion: After a thorough examination of the recent literature we conclude that the management of a penile fracture should not include any further investigation other than surgical exploration.

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