Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

Pavan, Nicola; Giorgia, Tezzot; Liguori, Giovanni; Napoli, Renata; Umari, Paolo; Rizzo, Michele; Chiriacò, Giovanni; Chiapparrone, Gaetano; Vedovo, Francesca; Bertolotto, Michele; Trombetta, Carlo

doi:10.4081/aiua.2014.4.359

Cited by 31 publications

(20 citation statements)

References 47 publications

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“…Thirty-eight studies provided data on the causes of penile fractures [2,3,5,8,15,16,17,19,20,21,23,24,25,27,29,31,32,35,36,37,38,39,40,41,43,46,48,49,51,52,54,58,59,60,62,63,64]. In total, 908 patients had a fracture caused by sexual intercourse, while 1,040 had one caused by ‘other means' (table 1).…”

Section: Resultsmentioning

confidence: 99%

“…There were no randomised trials and all studies were observational and generally of low quality. Only one study was prospective [11] with the remaining 57 being retrospective [1,2,3,5,8,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62]. Twenty studies made direct comparisons between conservative and surgical management [5,11,12,13,15,19,20,21,25,31,36,38,39,40,42,43,47,51,55,59].…”

Section: Resultsmentioning

confidence: 99%

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Penile Fracture: A Meta-Analysis

Amer

Wilson²,

Chłosta³

et al. 2016

Urol Int

146

138

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Objectives: To review the causes and management of penile fracture and to compare between surgical and conservative management as well as immediate and delayed interventions in terms of overall and specific complications. Methods: A search of all reported literature was conducted for all articles reporting on the management and outcomes of penile fractures. Full texts of relevant articles were obtained and screened according to the inclusion criteria. Outcomes measures were numbers of patients receiving surgical or conservative management, aetiology of fracture, length of admission, complications as well as the specifics of diagnostic approaches and operative management. Data was collated and where possible meta-analysed using Revman software. Results: A total of 58 relevant studies involving 3,213 patients demonstrated that intercourse accounts for only 48% of cases with masturbation and forced flexion accounting for 39%. Meta-analysis shows that surgical intervention was associated with significantly fewer complications vs. conservative management (p < 0.000001). Surgical intervention results in significantly less erectile dysfunction (ED), curvature and painful erection than conservative management. There was no significant difference in the number of patients developing plaques/nodules (p = 0.94). Meta-analysis shows that overall early surgery is preferable to delayed surgery but that rates of ED are not significantly different. Discussion: Early surgical intervention is associated with significantly fewer complications than conservative management or delayed surgery. The combined outcome of rapid diagnosis by history and clinical examination and swift surgical intervention is key for reconstruction with minimal long-term complications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Penile Fracture: A Meta-Analysis

Amer

Wilson²,

Chłosta³

et al. 2016

Urol Int

146

138

View full text Add to dashboard Cite

show abstract

“…Though our study size is small, this is a significant finding which has been documented in other literature, specifically a series from Pavan et al, 2014, and advocates for high clinical suspicion for urethral injury in the setting of bilateral corporal involvement. Conversely, urethral injury is very unlikely with distal or proximal corporal lacerations, or with non-coital mechanism of injury.…”

Section: Discussionmentioning

confidence: 79%

“…Though reports of conservative management of vascular injuries as well as penile fractures, consisting of non-steroidal antiinflammatory medication, ice, and penile rest, have been published, literature would suggest that this leads to higher incidence of late-onset morbidity such as Peyronie's disease (AlAssmy et al, 2010;Al-Reshaid et al, 2010;Gamal et al, 2011;Morey & Dugi, 2012;Pavan et al, 2014). Operative management of fracture hastens recovery and may reduce late complications.…”

Section: Discussionmentioning

confidence: 99%

Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

2015

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“…No information about the risk of re-rupture at the same localization could be found in the papers reviewed for the present study. Patients are advised not to have vigorous intercourse for 1 -2 months after the operation but there is no consensus about the period of abstinence [26] [27] [28].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Treatment of Penile Fractures: A Single Center Series

Harbiyeli¹,

Abol‐Enein²,

Johansen³

2017

OJU

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Objectives: The aim of this study is to review the diagnostic work-up, treatment methods and outcomes in patients treated for penile fractures. Methods: Thirty-one patients were treated for penile fracture during the period 2006-2014. Data were retrieved from patients' journals and analyzed retrospectively. Follow-up data were available for 23 patients. Results: Twenty-eight patients (90%) experienced immediate pain at incidence; 29 (94%) experienced immediate swelling; 23 (74%) heard a cracking sound; 20 (65%) observed a blue discoloration immediately afterwards and 20 (65%) got immediate detumescence. Magnetic Resonance Imaging was used preoperatively in 10 patients and demonstrated the side and localization of the rupture in tunica albuginea in all cases. A longitudinal incision over the suspected site of the rupture was used in 20 patients and a sub-coronal de-gloving incision of the penile skin was used in 10 patients. The average operation time with longitudinal incision method and de-gloving was 43 minutes and 57 minutes, respectively. Short term complications were seen in four patients and long term complications were seen in 14 patients of which deviation of penis during erection was most common. Conclusions: Immediate pain, swelling and hearing a cracking sound are predominant features in the history of patients with penile fracture. Magnetic Resonance Imaging is recommended for localizing the rupture site. A longitudinal incision over the rupture site means significantly shorter operation time than de-gloving.

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Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

Cited by 31 publications

References 47 publications

Penile Fracture: A Meta-Analysis

Penile Fracture: A Meta-Analysis

Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

Diagnosis and Treatment of Penile Fractures: A Single Center Series

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