Abstract
Background
Penile fractures are uncommon urological emergencies which occur when there has been a breach in the tunica albuginea of the corpora cavernosum that may be unilateral and bilateral and can extend to involve the urethra.
Aim
To assess the management and outcomes of penile fractures in a single institution in Ireland.
Methods
A retrospective review of the emergency theatre logbooks was performed between 2011 and 2021 to identify patients who had undergone an exploration for a suspected penile fracture.
Outcomes
Seventeen patients were initially identified on review of theatre logbooks as having an exploration for a suspected penile fracture. Two patients were excluded from the study due to a lack of clinical notes being available. A further 4 patients on chart review were found to not have a penile fracture at exploration.
Results
Eleven patients had a confirmed penile fracture intra-operatively, four of whom had an associated urethral injury. Nine (9/11) patients had preserved normal erections post-operatively documented on follow-up; two, however, reported erectile dysfunction requiring phosphodiesterase inhibitors.
Clinical implications
Our study supports urgent surgical exploration for penile fractures to ensure good functional outcomes.
Strengths and limitations
This is a retrospective review of theatre logbooks to identify patients with a suspected penile fracture.
Conclusion
The results of our cohort show a good outcome of erectile function following surgical repair of a penile fracture (9/11; 82%). Four patients (4/11; 36%) had a urethral injury diagnosed intra-operatively, one of whom required a formal urethroplasty.
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References
El-Sherif AE, Dauleh M, Allowneh N, Vijayan P (1991) Management of fracture of the penis in Qatar. Br J Urol 68(6):622–625
El-Assmy A, El-Tholoth HS, Mohsen T, Ibrahiem EHI (2010) Long-term outcome of surgical treatment of penile fracture complicated by urethral rupture. J Sex Med 7(11):3784–3788
Gontero P, Muir GH, Frea B (2003) Pathological findings of penile fractures and their surgical management. Urol Int 71(1):77–82
Eke N (2002) Fracture of the penis. Br J Surg 89(5):555–565
Karadl’Niz T, Topsakal M, Ariman A et al (1996) Penile fracture: differential diagnosis, management and outcome. Br J Urol 77(2):279–81
Falcone M, Garaffa G, Castiglione F, Ralph DJ (2018) Current management of penile fracture: an up-to-date systematic review. Sex Med Rev 6(2):253–260
Amer T, Wilson R, Chlosta P et al (2016) Penile fracture: a meta-analysis. Urol Int 96(3):315–329
Yusuf M, Yogiswara N, Soebadi MA et al (2022) Long-term outcomes comparison of immediate and delayed surgical intervention for penile fracture: a systematic review and meta-analysis. Sexologies 31(4):453–460
Kominsky H, Beebe S, Shah N, Jenkins LC (2020) Surgical reconstruction for penile fracture: a systematic review. Int J Impot Res 32(1):75–80. https://doi.org/10.1038/s41443-019-0212-1. Epub 2019 Nov 4 PMID: 31685943
Uder M, Gohl D, Takahashi M et al (2002) MRI of penile fracture: diagnosis and therapeutic follow-up. Eur Radiol 12(1):113–120. https://doi.org/10.1007/s003300101051. Epub 2001 Jul 24 PMID: 11868085
Mazaris EM, Livadas K, Chalikopoulos D et al (2009) Penile fractures: immediate surgical approach with a midline ventral incision. BJU Int 104(4):520–523. https://doi.org/10.1111/j.1464-410X.2009.08455.x. Epub 2009 Feb 23 PMID: 19239439
Derouiche A, Belhaj K, Hentati H et al (2008) Management of penile fractures complicated by urethral rupture. Int J Impot Res 20(1):111–114
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All procedures performed were in accordance with the ethical standards of the Helsinki Declaration and its later amendments.
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Norton, S., Qaoud, Y., Doherty, E. et al. Surgical management and post-operative functional outcomes of patients with a penile fracture—a single centre experience over 10 years. Ir J Med Sci 193, 917–920 (2024). https://doi.org/10.1007/s11845-023-03548-7
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DOI: https://doi.org/10.1007/s11845-023-03548-7