Penile Fractures: the Successful Outcome of Immediate Surgical Intervention

Abstract

Aim: To determine the results of early surgical repair in patients who initially report with a penis fracture. Study design: Retrospective Study Place of study & duration: General Surgery Department Hayatabad Medical Complex Peshawar from January 2020 to December 2021. Methodology: 42 patients with penile fractures who presented to the emergency room of the Hayatabad Medical Complex in Peshawar were included in this retrospective analysis. A clinical diagnosis was made. There was no radiological analysis done. All patients had primary suturing for the tunica tear and underwent postoperative monitoring for 4 months. Results: All patients underwent surgery within 24 hours of the injury. The most common cause of injury was sexual intercourse 35(83.3%) followed by 3(7.1%) masturbation, 2(4.8%) rolling over in bed and 2(4.8%) during “routine stretching.” Every patient consistently reported hearing a cracking sound along with a severe pain, erection loss, deformity, discolouration, and edoema. Only 3 patients had blood at the external meatus. No extravasation was detected by ascending urethrography. There were 20(47.6%) proximal injuries, 16(38%) midshaft injuries and 6(14.3%) distal injuries. Conclusion: An acceptable complication rate and satisfactory postoperative results are associated with early surgical intervention for penile fracture. Early diagnosis and surgical intervention are essential for a positive result and minimal complications. Keywords: Penile fracture, Tunica albugenia, corpus cavernosum

Penile fracture: A case report

“…Surgery provides direct visualization and precise repair of the defect, immediate anatomical and functional restoration, reducing long-term risks. It also addresses concurrent issues like urethral injuries or hematoma evacuation [ 7 , 27 ]. Immediate surgical intervention, including hematoma evacuation and tunica albuginea repair, was initially recommended by Fernstrom [ 28 ].…”

“…Management of penile fracture primarily involves surgical repair, which is considered the gold standard treatment. The main objective of surgery is to promptly evacuate any hematoma and meticulously repair the ruptured tunica albuginea, aims to ensure proper healing and restoration of penile anatomy and function and reduces the likelihood of subsequent complications associated with relying solely on conservative management [ 7 , 8 ]. It is important to note that the timing of presentation significantly impacts the long-term outcome of surgical intervention.…”