Traumatic Rupture of the Corpus Cavernosum

Abstract

Twelve patients with fracture of the penis have been treated in this department during the last 18 years. Their mean age was 41.5 years (range 25-55) and two-thirds of the injuries resulted from coitus. Eleven patients underwent immediate exploration and repair of the tunica albuginea and only 1 still has sexual dysfunction. One patient was treated conservatively and remains impotent. Immediate surgical treatment is recommended, since it avoids the formation of penile plaque, penile fibrosis and angulation and accelerates restoration of normal penile function.

Consensus on genitourinary trauma: external genitalia

“…However, despite supportive measures such as pain relief, pressure dressings, pharmacological suppression of erection, anti-inflammatory agents, empirical antibiotics and catheterization, a 10-30% incidence of residual penile curvature has been associated with nonoperative management [32,54]. Other reported complications include penile abscess, missed urethral injury, persistent haematoma, fibrosis and angulation.…”

Fracture of the Penis: A Critique of Clinical Features and Management

“…In the current series, one urethral injury was documented (8%). El-Sherif et al 6 attributed the similarly low incidence in their series to the high incidence of non-coital fractures, whereas Tan et al 25 reported a similarly low incidence despite a high percentage of coital fractures in their series. It is therefore not clear what predisposes to urethral injuries in association with fractured penis.…”

“…1,6,[23][24][25] The mean age in this series, 36 years, falls within this range. In seven of our 12 patients (57%), the fracture incidents were related to sexual intercourse, which is similar to the 58% reported by Nicolaison et al 24 from the West, but varies greatly with the 9.5% reported by El-Sherif et al 6 from a neighboring Gulf state.…”

“…6,25 In the current series, the use of diazepam helped in the prevention of early erections that might have had harmful effects, and helped to allay patient's anxiety which may occur with such trauma.…”

“…Although non-absorbable suture is recommended in the repair of tunical tears, 33 many surgeons have reported the use of absorbable sutures. 1,6,7,25 In the current study, vicryl was used in all cases without significant sequelae. We feel that it is the preference of a urological surgeon (as opposed to a vascular surgeon) that dictates the selection of absorbable sutures.…”