Our 8 Years Experience on Penile Fractures: the Diagnosis and Treatment

Abstract

Aim: The purpose of this study to present our experience with diagnosis and treatment management of penile fracture. Material and Method: Patients who were admitted our clinic with complaints of sudden penile swelling and pain during 8 years were screened. Clinical information of 30 patients aged between 16 and 45 retrospectively analyzed. The patients had applied to emergency room during the first 10 hours following penile swelling and pain. Results: Penile fracture was detected in 28 patients and dorsal penile vein rupture mimicking penile fracture was detected in 2 patients. The most common etiologies of penile fracture were coitus and manually bending the penis for detumescence. Diagnoses were made based on history and physical examination. The treatment was surgical in 28 cases with subcoronal circumferential degloving incision and 2 patients were treated with vein ligation due to dorsal vein rupture. Erectile dysfunction or penile curvature were not detected (except the last five cases) during a mean follow up of 18.7 months (range 8-28). Discussion: Although conservative treatment options were adviced, many authors prefer surgery because of the rapid recovery, short hospitalization duration, less morbidity and less penil curvature during the long term period.