Penile manipulation: The most common etiology of penile fracture at our tertiary care center

Abstract

Penile fracture is the disruption of the tunica albuginea with rupture of the corpus cavernosum secondary to blunt trauma to the erect penis. It is an unusual condition, usually underreported. According to the published literature, vigorous vaginal intercourse with women on top position is the most common etiology across the globe including India with Middle Eastern countries being the exception. A total of seven patients of penile fracture presented in emergency in the last 6 months. The etiology was penile manipulation at the time of sexual excitement in six out of seven patients of penile fracture, which was contrary to the literature published except in Middle Eastern countries. All the patients were managed by emergency exploration and repair. Thus, the incidence and etiologies of penile fracture vary according to geographic region, sexual behavior, marital status, and culture.

Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

“…The urethra was repaired primarily, spatulated, and anastomosed with vicryl 3/0 over the indwelling catheter with continuous suture [18, 14]; although interrupted suture repairs are most documented [19]. The postoperative outcome was satisfactory within two weeks; as primary repair has been proven to have a good outcome in some reports [16].…”