The effect of a penile fracture on ejaculatory and erectile functions: A cross-sectional study

Can, Osman; Merder, Erkan; Canat, Lütfi; Sabuncu, Kenan; Altunrende, Fatih

doi:10.28982/josam.847943

Cited by 2 publications

(3 citation statements)

References 24 publications

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“…In the study of Barros et al, delayed ejaculation disorder was found to be more common, and premature ejaculation was found to be rare (it was observed in only one patient) [7]. In another study, postoperative IELTs were found to be statistically higher than the preoperative scores in patients who had suffered PFs [23]. In our study, almost all the patients showed increases in self-estimated IELTs after surgical repair compared to the preoperative period.…”

Section: Discussionsupporting

confidence: 50%

Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures

Keskin,

Can,

Filtekin

et al. 2024

Int J Impot Res

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This study aimed to compare the erectile and ejaculatory functional outcomes of unilateral and bilateral ruptures of the corpus cavernosum in penile fractures. Sixty patients’ data were analyzed retrospectively between June 2020 and January 2023. The patients were divided into two groups based on the affected corpus cavernosum (unilateral and bilateral). Preoperative and postoperative 3rd-, 6th-, and 12th-month self-estimated intravaginal-ejaculation-latency-time (IELT), and international index of erectile function-erectile function (IIEF-EF) scores as well as the presence of urethral injury were compared. Bilateral corpus cavernosum fractures were detected in 18.3% of the patients. The IIEF-EF scores of both groups at 3rd-, 6th-, and 12th-month were found to be significantly lower than the preoperative scores (unilateral group:24.1 ± 2.7 vs 23.2 ± 3.5 and 23.3 ± 3.4, respectively, p = 0.011 and 0.014, respectively; bilateral group: 24 ± 1.9 vs 23 ± 1.8 and 23.2 ± 1.5, respectively, p = 0.027 and 0.047, respectively). No significant difference was found between the preoperative and the postoperative 12th month IIEF-EF scores in either group (unilateral group: 24.1 ± 2.7 vs 23.4 ± 3.6, p = 0.207;bilateral group:24 ± 1.9 vs 23.2 ± 1.5, p = 0.057). The self-estimated IELTs of both groups at the postoperative 3rd, 6th, and 12th months demonstrated a significant increase from the preoperative values (unilateral group: 221.6 ± 81.8 vs 252 ± 94.6, 256.5 ± 97.6, and 250.5 ± 104.8, respectively, p < 0.001; bilateral group:241.8 ± 61.6 vs 278.1 ± 55.4, 281.8 ± 56.1, and 283.6 ± 54.2, respectively, p = 0.041, 0.030, and 0.047, respectively). The changes in self-estimated IELTs and IIEF-EF scores between the preoperative period and the postoperative 3rd, 6th, and 12th-months were compared, and no statistical difference was found between patients with unilateral and bilateral corpus cavernosum fractures (p > 0.05). In conclusion, no significant difference in erectile function was found in either group at the 12-month follow-up, and the self-estimated IELTs were found to be prolonged in both groups. Furthermore, no difference was noted between the groups at any follow-up. To explain the effects of unilateral and bilateral injuries on erectile and ejaculatory functions, further studies with a larger-number of patients are necessary.

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Section: Discussionsupporting

confidence: 50%

Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures

Keskin,

Can,

Filtekin

et al. 2024

Int J Impot Res

Self Cite

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“…However, the limited sample size of WTP studies may not be sufficient to counterbalance the significant association of the dominant male position. Furthermore, the body mass index of the sexual partner in WTP may also contribute to PF ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

“…Generally, PF is characterized by a bent penis with detumescence and intense pain. Can et al explain that penile fracture contributes to a longer ejaculation time ( 8 ). Immediate treatment is crucial, though fear, embarrassment, and delaying referral can sometimes result in postponed surgery ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

What is the most dangerous sexual position that caused the penile fracture? A systematic review and meta-analysis

Syarif,

Azis,

Natsir

et al. 2024

Int. braz j urol.

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Purpose: Penile fracture (PF) affects 1,14 to 10,48 men in every 100.000 men in East Asia, and the primary aetiology is sexual intercourse, but the knowledge regarding the most dangerous sexual position is not well explained. This study compares three sexual positions: man on top position (MTP), woman on top position (WTP), and doggy style position (DSP), leading to PF potential. Materials and methods: A search of sexual position-related PF in Google Scholar, PubMed, Cochrane, and PMC Europe was performed. Criteria inclusion was the full text of relevant articles which describ the number of sexual positions. It was analyzed by odds ratio, random model effect, and the OR and 95%CI were calculated. Results: Twelve relevant papers involving 490 patients comprised 169 MTP, 120 WTP, 158 DSP, and 43 no intercourse cases. Meta-analysis of all sexual positions was a MTP P= 0,04, WTP P=0,49, and DSP P=0,0005. Conclusions: The man-dominant positions (MTP and DSP) were significantly potential for PF, which speculated that when a man is dominant and very excited, intercourse may become highly vigorous and impact trauma. This study found that man's dominant position consists of DSP and the MTP significantly lead to PF.

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The effect of a penile fracture on ejaculatory and erectile functions: A cross-sectional study

Cited by 2 publications

References 24 publications

Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures

Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures

What is the most dangerous sexual position that caused the penile fracture? A systematic review and meta-analysis

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