Delayed Repair of Penile Fracture

Cummings, James M.; Parra, Raul O.; Boullier, John A.

doi:10.1097/00005373-199807000-00032

Cited by 33 publications

(34 citation statements)

References 11 publications

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“…In another series of three patients with penile fracture who had definitive therapy delayed for periods of 24-40 h, they found that, despite the delay in presentation, all patients did well with normal, straight erections postoperatively. 24 In this study and after long-term follow-up, the erectile function of patients with delayed presentation compares favorably to those presented immediately after trauma with no statistically significant difference.…”

Section: Discussionmentioning

confidence: 53%

Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

et al. 2011

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This study was conducted to determine the preoperative and intraoperative risk factors of ED and the underlying penile vascular abnormalities among patients with penile fracture treated surgically. In all, 180 patients with penile fracture were treated surgically and followed up in one center. None of our patients had ED before the penile trauma and only two of them had risk factors for systemic vascular diseases, such as diabetes mellitus (one patient) and hypertension (one patient). After a mean follow-up of 106 months, 11 patients (6.6%) developed ED, 7 had mild ED and 4 had moderate ED. The main risk factors for subsequent ED were aging, 450 years, and bilateral corporal involvement. Among the 11 patients with ED, color Doppler ultrasonography (CDU) showed normal Doppler indices in 4 (36.4%), veno-occlusive dysfunction in 4 (36.4%) and arterial insufficiency in the remaining 3 (27.2%) patients. CDU assessments from the injured and intact sides were comparable. ED of either a psychological or vascular origin can be encountered as a long-term sequel of surgical treatment of penile fracture. Aging, 450 years, at presentation and bilateral corporal involvement is the main risk factors for subsequent development of ED.

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Section: Discussionmentioning

confidence: 53%

Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

et al. 2011

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“…Although the classical opinion is in favor of a surgical repair as soon as possible, there is important data in the literature that definitive therapy with excellent results is still possible after a considerable time period passed from the trauma without any increase in long-term complications. [6][7][8] In this current study we updated our series about PF and emphasized the effect of time interval from the incident of fracture until the surgical repair on postoperative erectile function and long-term complications.…”

Section: Introductionmentioning

confidence: 95%

An update of Penile Fractures: Long-term significance of the number of hours elapsed till surgical repair on long-term outcomes

Kozacıoğlu¹,

Ceylan²,

Aydoğdu³

et al. 2017

Turkish Journal of Urology

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Objective: We updated our data on penile fractures and investigated the significance of the time interval from the incident of the fracture until the operation on the erectile functions and long-term complications. Material and methods:Between January 2001 and June 2014, 64 patients were operated on with a preoperative diagnosis of penile fracture. We could evaluate 54 of these patients. The patients were classified into 3 groups according to the time interval from the time of fracture until surgery. The validated Turkish version of the erectile components of International Index of Erectile Function (IIEF) was answered by every patient 3 times after the surgery; before the incident of fracture, at first postoperative year, and at the time of the study (IIEF-5 and question #15 were used). The complications were noted and an erectile function index score was calculated for every patient.Results: Mean follow up period was 44.9 (±2.8) months for all patients There was no statistically significant difference between the 3 groups in terms of the erectile components of IIEF questionnaire scores for the time periods and for individual patients in each separate group. Complications for all groups were also similar. Conclusion:In consideration of long-term results, neither serious deformities nor erectile dysfunction occur as a consequence of a delay in surgery performed within the first 24 hours in patients without urethral involvement.

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“…In a recent report the success rate was 92% for immediate surgical repair and 59% for conservative management. 15 The complication rate for conservative management was reported to be about 30%, this included fibrous tissue formation with deviation of the penis during erection, prolonged hospital stay and impotence 15,16,17 compared with less than 10% for immediate surgical repair. 18 All the patients in this series underwent immediate surgical repair to avoid the potential complications of conservative management.…”

Section: Discussionmentioning

confidence: 99%

“…Several incisions to approach the fracture site have been described including a circumcising degloving incision, midline peno-scrotal, inguino-scrotal, and lateral incision. 4,15,16 A degloving circumcising incision was used in all the cases because it allows excellent exposure of the whole penis and penile urethra.…”

Section: Discussionmentioning

confidence: 99%