Background Penile fracture is relatively a rare urological emergency and has been the topic of a few publications in the literature through clinical cases or case series. Despite this relative scarcity, it is increasingly reported as one of the andrological emergencies in Burkina Faso. The purpose of this study was to report our experience of the management of such andrological emergency in the two main university teaching hospitals of Burkina Faso. Methods This was a cross-sectional study, including retrospectively patients managed for a penile fracture between January 2016 and September 2021, and having a minimum postoperative follow-up of 6 months. The literature review was performed by analyzing the content of the following documents: consultation logs, patient records, operative report protocol. The parameters studied were age, mechanism of occurrence, clinical data, delay of management, operative technique and functional and morphological results after surgery. Erectile function was assessed by the IIEF5 score and rigidity by the EHS scale. Results Among the 24 cases of penile fracture, 21 patients were included with a median age of 32.7 ± 5.74 years (23–43 years). The most common mechanism was a coital misstep or coitus interruptus (14 patients or 66.7%). Forced self-manipulation/masturbation was noted in 4 cases (19%), and direct trauma to the penis was noted in 3 cases (14.3%). Urethrorrhagia was reported by 5 patients. The mean delay of management was 65 h (6–432 h). The main sign found was the painful swelling of the penis with an “eggplant” appearance. The surgical approach was a circumferential balanopreputial incision in all our patients. Involvement of the spongy body and urethra associated with involvement of the cavernous body was noted in 4 patients, with a single case of spongy body and urethral involvement. The mean length of hospital stay was 3 days. Postoperatively, erectile dysfunction was noted in 6 patients. A palpable nodule at the penis was observed in 12 patients. No patient reported curvature of the penis. Conclusion Penile fracture is a clinical diagnosis requiring early exploration and surgical repair to ensure better functional and morphological outcomes.

La fracture du pénis est une urgence urologique rare, définie comme une rupture traumatique de la tunique albuginée du corps caverneux. Elle touche essentiellement le sujet jeune au cours de l'activité sexuelle. Le but de ce travail était de rapporter les résultats de la prise en charge de 06 cas de fracture de verge observés dans le service d'Urologie-Andrologie du Centre Hospitalier Universitaire Sanon Souro (CHUSS) de Bobo-Dioulasso. Il s'agissait de six patients d'âge moyen de 38,3 ans, reçu pour tuméfaction douloureuse de la verge pour 04 cas et d'urétrorragie persistante pour 02 cas au décours de faux pas du coït ou de manipulation forcée de la verge. La tuméfaction douloureuse de la verge avec la verge en “aspect d'aubergine” a été le principal signe retrouvé. Le traitement a consisté en une évacuation de l'hématome intra-caverneux suivi d'une albuginorraphie pour 05 cas et pour un cas d'un traitement conservateur. Les suites opératoires ont été simples pour l'ensemble des patients.