Delayed Surgical Repair of Penile Fracture under Local Anesthesia
- 1 October 2008
- journal article
- Published by Oxford University Press (OUP) in The Journal of Sexual Medicine
- Vol. 5 (10), 2464-2469
- https://doi.org/10.1111/j.1743-6109.2008.00851.x
Abstract
Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours. Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out. A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination. All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up. Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.Keywords
This publication has 20 references indexed in Scilit:
- Penile Fracture: Surgical Repair and Late Effects on Erectile FunctionThe Journal of Sexual Medicine, 2008
- Dorsal Vein Injuries Observed During Penile Exploration for Suspected Penile FractureThe Journal of Sexual Medicine, 2007
- Nonpalpable Scarring of the Penile Septum as a Cause of Erectile Dysfunction: An Atypical Form of Peyronie’s DiseaseThe Journal of Sexual Medicine, 2007
- Evaluation and management of traumatic rupture of the corpus cavrnosumActa chirurgica Iugoslavica, 2007
- Methylene Blue-Guided Repair of Fractured PenisThe Journal of Sexual Medicine, 2006
- Penile Fractures: Evaluation, Therapeutic Approaches and Long-Term ResultsJournal of Urology, 1996
- EXPERIENCE WITH PENILE FRACTURES IN EGYPTPublished by Wolters Kluwer Health ,1993
- Fracture of penis: Diagnosis and managementUrology, 1992
- Fracture of the penisBritish Journal of Surgery, 1985
- Fracture of penis: Controversy of surgical versus conservative treatmentUrology, 1984