Diagnosis and Treatment of Penile Fracture: Analysis of Clinical Characteristics of 45 Cases

Introduction: We investigated the clinical characteristics of patients who underwent penile fracture surgery. Methods: Between December 2005 and February 2015, a total of 45 patients underwent surgery for repair of penile fracture at our institution. The age and body mass index (BMI) of these patients were recorded along with their medical history and physical examination findings. Moreover, the duration of the operation was noted, and the preoperative International Index of Erectile Function-Erectile Function (IIEF-EF) scores were compared with postoperative scores. Results: Average age of patients was 41.25 +/- 11.78 (20-65) years, and average BMI was 26.36 +/- 3.17 (23.67-29.72) kg/m2. Of the patients, 18 (40%), 16 (35.5%), 5 (11.1%), 3 (6.7%), and 3 (6.7%) cases had the fracture during sexual intercourse, during sleep, with sudden penile maneuvers, during masturbation, and with trauma, respectively. Mean operation time was 38.32 +/- 19.74 (20-90) min, and mean hospital stay was 1.28 +/- 0.61 (1-3) days. Most of the cases (26/45) were performed under spinal anesthesia. There was only one patient with urethral injury. Mean preoperative IIEF-EF score was 26.12 +/- 3.21 (19-30), and mean IIEF-EF score at postoperative 3rd month was 23.37 +/- 3.87 (10-27). We found significant differences between preoperative and postoperative scores (p=0.011). Postoperative penile curvature was observed in 2 (4.4%) cases, and painful erection was seen in 2 (4.4%) cases. Conclusion: Penile fracture requires urgent intervention in the urological practice. The majority of the cases occur during sexual intercourse. Although the management of penile fracture is not complicated, postoperative erectile problems are not rare.