Platinum open access journal
pISSN 2466-0493 eISSN 2466-054X
Indexed in MEDLINE, SCIE, Scopus, DOAJ and more
    Korean J Urol. 2009 Feb;50(2):165-168. Korean.
    Published online Feb 25, 2009.
    https://doi.org/10.4111/kju.2009.50.2.165
    Copyright © The Korean Urological Association, 2009
    Original Article

    Long-Term Results of Immediate Surgical Treatment of Penile Fracture

    Min Gyun Kim, Ji Hyeong Yu, Luck Hee Sung, Choong Hee Noh and Jae Yong Chung
      • Department of Urology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
    • Correspondence to: Jae Yong Chung. Department of Urology, Inje University College of Medicine, 761-1, Sanggye 7-dong, Nowon-gu, Seoul 139-707, Korea. TEL: 02-950-1139, FAX: 02-939-6133, Email: chungj90@paran.com
    Received June 05, 2008; Accepted November 25, 2008.

    Abstract

    Purpose

    Penile fracture is a rare but serious urological condition. Immediate surgical repair is widely accepted as the treatment of choice in penile fracture. The aim of this study is to investigate the long-term outcome of immediate surgical treatment of penile fracture.

    Materials and Methods

    This is a retrospective study of 12 men with penile fracture who were treated in the Department of Urology, Sanggyepaik Hospital, Seoul, Korea from January 2000 to June 2005. Diagnosis was made clinically and was confirmed by cavernosography in all our patients. All patients underwent immediate surgical repair, within two days after trauma, using a degloving incision. The long term results of the immediate surgical repair were evaluated using questionnaire on outpatient department visiting or telephoning.

    Results

    The median patient age was 43 years (range, 18 to 57 years). The median follow-up was 32 months (range, 14 to 60 months). Of these patients, 8 (66.7%) patients were injured during sexual intercourse, whereas 4 (33.3%) patients were injured during masturbation. All patients were treated by immediate surgery. All patients reported satisfactory, painless erectile function; two developed penile curvature and one had a penile nodule.

    Conclusions

    Immediate surgical repair of penile fracture is effective, restores erectile function, and the incidence of complications is low.

    Keywords
    Penis; Fracture; Surgery

    Figures

    Fig. 1
    Corpus cavernosography shows extravasation.

    Fig. 2
    Retrograde urethrography shows rupture of penile urethra.

    Tables

    Table 1
    Characteristics and operative findings of rupture of corpus cavernosum in 12 patients

    Table 2
    Operative findings and complications

    References

      1. Dever DP, Saraf PG, Catanese RP, Feinstein MJ, Davis RS. Penile fracture: operative management and cavernosography. Urology 1983;22:394–396.
      1. Karadeniz T, Topsakal M, Ariman A, Erton H, Basak D. Penile fracture: differential diagnosis, management and outcome. Br J Urol 1996;77:279–281.
      1. Koga S, Saito Y, Arakaki Y, Nakamura N, Matsuoka M, Saita H, et al. Sonography in fracture of the penis. Br J Urol 1993;72:228–229.
      1. Shin DJ, Cheon MW, Kim MK, Park JK. The value of magnetic resonance imaging in the diagnosis of penile fracture. Korean J Urol 2002;43:49–51.
      1. Zargooshi J. Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol 2000;164:364–366.
      1. Nicolaisen GS, Melamud A, Williams RD, McAninch JW. Rupture of the corpus cavernosum: surgical management. J Urol 1983;130:917–919.
      1. Wespes E, Libert M, Simon J, Schulman CC. Fracture of the penis: conservative versus surgical treatment. Eur Urol 1987;13:166–168.
      1. Fergany AF, Angermeier KW, Montague DK. Review of Cleveland Clinic experience with penile fracture. Urology 1999;54:352–355.
      1. Paparel P, Ruffion A. Rupture of copora cavernosa: clinical practice. Ann Urol 2006;40:267–272.
      1. Bae C, Lee YT. Penile fracture: a report of 6 cases. Korean J Urol 1991;32:623–628.
      1. Ko HS, Rha KC, Kim JS, Choi DY, Han YT. Penile fracture: a report of 4 cases. Korean J Urol 1999;40:245–249.
      1. Milles S, McAninch JW. In: Penile fracture and soft tissue injury in traumatic and reconstructive urology. 1st ed. Philadelphia: Saunders; 1996. pp. 693-698.
      1. Waller DA, Britton JP, Ferro MA. Rotational injury of the penis. Br J Urol 1990;65:425.
      1. Nehru-Babu M, Hendry D, Ai-Saffar N. Rupture of the dorsal vein mimicking fracture of the penis. BJU Int 1999;84:179–180.
      1. Mostafa H. Rupture of the dorsal artery of the penis as a result of sexual intercourse. J Urol 1967;97:314.
      1. Tsang T, Demby AM. Penile fracture with urethral injury. J Urol 1992;147:466–468.
      1. Jeong HH, Choi JB, Lee JB. Different clinical manifestations of penile fracture according to patients age. Korean J Urol 2004;45:168–172.
      1. Asgari MA, Hosseini SY, Safarinejad MR, Samadzadeh B, Bardideh AR. Penile fractures: evaluation, therapeutic approaches and long-term results. J Urol 1996;155:148–149.
      1. Morris SB, Miller MA, Anson K. Management of penile fracture. J R Soc Med 1998;91:427–428.
      1. Agrawal KS, Morgan BE, Shafique M, Shazely M. Experience with penile fractures in Saudi Arabia. Br J Urol 1991;67:644–646.
      1. Cortellini P, Ferretti S, Larosa M, Peracchia G, Arena F. Traumatic injury of the penis: surgical management. Scand J Urol Nephrol 1996;30:517–519.
      1. Mydlo JH. Surgeon experience with penile fracture. J Urol 2001;166:526–529.
      1. Zargooshi J. Penile fracture in Kermanshah, Iran: the long-term results of surgical treatment. BJU Int 2002;89:890–894.
      1. Cheon J, Kim JJ. Fracture of the penis: results of early surgical treatment. Korean J Urol 1991;32:428–430.
      1. Hwang SW, Cho SP, Lee JB. Penile injury during erection: the clinical manifestations and results of operative treatment. Korean J Urol 1997;38:1229–1234.
      1. El Atat R, Sfaxi M, Benslama MR, Amine D, Ayed M, Mouelli SB, et al. Fracture of the penis: management and long-term results of surgical treatment. Experience in 300 cases. J Trauma 2008;64:121–125.
    MeSH Terms
    Coitus
    Follow-Up Studies
    Humans
    Incidence
    Korea
    Male
    Masturbation
    Outpatients
    Penis
    Retrospective Studies
    Urology
    Metrics
    Share
    Figures
    slide
    slide

    1 / 2

    Tables
    slide
    slide

    1 / 2

    PERMALINK