Experience in Management of Penile Fracture at Al‑Hilla Teaching Hospital

Abstract

Background: Penile Fracture (PF), consider as uncommon emergency in the urological field occurring due to tear in the tunica albuginaof the corpora cavernosa of the penis. Objective: This retrospective study aims to analyze the main presentation, management modalitiesand complications that occurred for the cases of penile fractures who are admitted to Al‑Hilla teaching hospital over the last 10 years.Materials and Methods: Fifty‑four patients who presented to our hospital with PF over a 10‑year period from December 2006 to December2016 were included in this study. Hospital records and data collected from all the urologists at Hilla Teaching Hospital using a direct questionnairewere evaluated for all patients with PF. All patients treated by immediate surgical exploration, hematoma evacuation and repair of the tear ortears founded. Results: Out of a total of 54 patients who are include in the study, there were 44 patients (81.48%) between 21 and 40 yearsold. Most of the injuries were on the left proximal side of the penis. In almost all of the cases, the patients were admitted for 2–4 days. Allthe patients were given intravenous antibiotics at the hospital and completed an oral course of treatment at home. Forty nine patients (90.7%)report satisfactory penile erection post operatively without pain. Rough sexual activity was the primary cause of the penile fractures in ourstudy. Most patients presented within 4–24 h of sustaining the injury, and the rest presented within 1 day to 1 week. The injury was usuallyrepaired immediately. Most patients reported that erectile function returned 2–7 days after surgery, while sexual intercourse returned 2 weeksafter the surgery. Conclusions: Vigorous sexual intercourse is the most common etiological factor for fracture of the penis for cases includedin this study. Surgical repair is associated with a low complication rate. According to the results of our study, immediate surgical repair isstrongly recommended.