Skip to main content
SpringerLink
Log in

Management and outcomes of penile fracture: 10 years’ experience from a tertiary care center

  • Urology - Original Paper
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Objectives

To evaluate our experience on diagnosis and management of penile fractures.

Materials and methods

This retrospective study included 31 patients who were treated for penile fracture between 2002 and 2012. We analyzed the etiology of penile fracture, concomitant pathologies such as urethral injury, deep or superficial dorsal vein ruptures, treatment modalities (surgery or conservative treatment) and complications of treatment modalities.

Results

The mean age of the patients was 32 years (range, 23–47 years). In 27 patients (87 %), the cause of penile fracture was sexual intercourse. Patients presented with swelling, pain and popping or cracking sound in penis. The diagnosis of penile fracture was established clinically in all of the patients. There were no urethral injuries or dorsal vein ruptures. Ten patients who refused surgical treatment were treated conservatively and remaining 21 patients with early surgical intervention. Among conservatively treated patients, two suffered from erectile dysfunction, two from painful erection and another two from penile curvature. No serious complications such as erectile dysfunction, penile curvature or painful erection were observed in surgically treated patients.

Conclusion

Penile fracture can be diagnosed easily with history and physical examination, and favorable functional results can be achieved with early surgical repair.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Yapanoglu T, Aksoy Y, Adanur S, Kabadayi B, Ozturk G, Ozbey I (2009) Seventeen years’ experience of penile fracture: conservative vs. surgical treatment. J Sex Med 6(7):2058–2063

    Article  PubMed  Google Scholar 

  2. Agarwal MM, Singh SK, Sharma DK, Ranjan P, Kumar S, Chandramohan V (2009) Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol 16(2):4568–4575

    PubMed  Google Scholar 

  3. Gedik A, Kayan D, Yamiş S, Yılmaz Y, Bircan K (2011) The diagnosis and treatment of penile fracture: our 19-year experience. Ulus Travma Acil Cerrahi Derg 17(1):57–60

    Article  PubMed  Google Scholar 

  4. Fernstrom U (1957) Rupture of the penis. report of one operated case and review of literature. Acta Chir Scand 113(3):211–217

    CAS  PubMed  Google Scholar 

  5. Pandyan GVS, Zaharani A, Al Rashid M (2006) Fracture penis: an analysis of 26 cases. Sci World J 6:2327–2333

    Article  Google Scholar 

  6. De Giorgi G, Luciani LG, Valotto C, Moro U, Praturlon S, Zattoni F (2005) Early surgical repair of penile fractures: our experience. Arch Italiano Urol J Androl 77:103–105

    Google Scholar 

  7. Nasser TA, Mostafa T (2008) Delayed surgical repair of penile fracture under local anesthesia. J Sex Med 5(10):2464–2469

    PubMed  Google Scholar 

  8. Naraynsingh V, Hariharan S, Goetz L, Dan D (2010) Late delayed repair of fractured penis. J Androl 31(2):231–233

    Article  PubMed  Google Scholar 

  9. Akkus E, Kadioglu A, Esen A, Doran S, Ergen A, Anafarta K et al (2002) Turkish Erectile Dysfunction Prevalence Study Group. Prevalence and correlates of erectile dysfunction in Turkey: a population-based study. Eur Urol 41(3):298–304

    Article  PubMed  Google Scholar 

  10. Penson DF, Seftel AD, Krane RJ, Frohrib D, Goldstein I (1992) The hemodynamic pathophysiology of impotence following blunt trauma to the erect penis. J Urol 148:1171–1180

    CAS  PubMed  Google Scholar 

  11. Nane I, Tefekli A, Armagan A, Sanli O, Kadioglu A (2004) Penile vascular abnormalities observed long-term after surgical repair of penile fractures. Int J Urol 11:316–320

    Article  PubMed  Google Scholar 

  12. Eke N (2002) Fracture of the penis. Br J Surg 89:555–565

    Article  CAS  PubMed  Google Scholar 

  13. Zargooshi J (2000) Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol 164:364–366

    Article  CAS  PubMed  Google Scholar 

  14. Dever DP, Saraf PG, Catanese RP, Feinstein MJ, Davis RS (1983) Penile fracture: operative management and cavernosography. Urology 22:394–396

    Article  CAS  PubMed  Google Scholar 

  15. Uder M, Gohl D, Takahashi M, Derouet H, Defreyne L, Kramann B (2002) MRI of penile fracture: diagnosis and therapeutic follow-up. Eur Radiol 12:113–120

    Article  PubMed  Google Scholar 

  16. Naraynsingh V, Maharaj D, Kuruvilla T, Ramsewak R (1998) Simple repair of fractured penis. J R Coll Surg Edinb 43:97–98

    CAS  PubMed  Google Scholar 

  17. Creecy AA, Beazlie FS (1957) Fracture of the penis. Traumatic rupture of the corpora cavernosa. J Urol 78:620–627

    CAS  PubMed  Google Scholar 

  18. Miller S, McAninch JW (1996) Penile fracture and soft tissue injury. In: McAninch JW (ed) Traumatic and reconstructive urology. W.B. Saunders, Philadelphia, pp 693–698

    Google Scholar 

  19. Agrawal SK, Morgan BE, Shafique M (1991) Experience with penile fractures in Saudi Arabia. Br J Urol 67:644–646

    Article  CAS  PubMed  Google Scholar 

  20. Mydlo JH, Gershbein AB, Macchia RJ (2001) Nonoperative treatment of patients with presumed penile fracture. J Urol 165:424–425

    Article  CAS  PubMed  Google Scholar 

  21. Gamal WM, Osman MM, Hammady A, Aldahshoury MZ, Hussein MM, Saleem M (2011) Penile fracture: long-term results of surgical and conservative management. J Trauma 71(2):491–493

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Urology, Faculty of Medicine, Süleyman Demirel University, 32050, Isparta, Turkey

    Alper Özorak, Taylan Oksay, Ahmet Güzel & Alim Koşar

  2. Department of Urology, Faculty of Medicine, Alanya Practice and Research Center, Başkent University, Alanya, Turkey

    Mustafa Burak Hoşcan

Authors
  1. Alper Özorak
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mustafa Burak Hoşcan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Taylan Oksay
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ahmet Güzel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Alim Koşar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alper Özorak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Özorak, A., Hoşcan, M.B., Oksay, T. et al. Management and outcomes of penile fracture: 10 years’ experience from a tertiary care center. Int Urol Nephrol 46, 519–522 (2014). https://doi.org/10.1007/s11255-013-0531-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-013-0531-y

Keywords

Search

Navigation