CLINICAL RESULTS OF DIAGNOSIS AND TREATMENT OF PENILE FRACTURE: OUR EXPERIENCE OF THE PAST 10 YEARS

Objective: The objective of our study is to evaluate the clinical characteristics, diagnostic methods, surgical outcomes, and post-operative complications of penile fractures, based on extensive clinical experience over the past decade. While penile fracture (PF) is a well-established clinical condition, the originality of this study lies in its detailed analysis of both diagnostic approaches and surgical outcomes. Materials and Methods: A retrospective review was conducted on 33 patients who underwent surgery for penile fractures between March 2014 and March 2024. Medical records were systematically reviewed to obtain epidemiological data, patient history, clinical presentation, etiology, operative findings, and postoperative complications. Statistical analysis was performed using IBM SPSS Statistics. Results: The mean age of patients was 41.9 +/- 13.17 years. The median time from the injury to presentation at the emergency department was 5 hours (range: 1-24 hours). The most common etiology was sexual intercourse-related trauma, observed in 57.6% of cases. Hematoma was present in all patients upon physical examination. Penile ultrasound was performed in 36.4% of cases, detecting cavernosal rupture in all cases. Surgical repair was performed within 24 hours of injury for all patients, with a median hospitalization of 1 day. No early complications occurred, and none of the patients developed erectile dysfunction and penile curvature during follow-up. Conclusion: History and physical examination are usually sufficient for diagnosis. In uncertain cases, penile ultrasound by experienced radiologists is valuable. Surgical intervention within 24 hours, including pre- hospital delay, minimizes erectile dysfunction and penile curvature, ensuring better functional outcomes.