Korean J Androl.  2010 Apr;28(1):22-27.

What is the best Treatment of Penile Fractures? Conservative or Surgical?: Experience in 34 cases

• Yoon SJ
• Park HK
• Jung H
• Joo KJ
• Kim KH

Abstract

PURPOSE
Penile fracture is described as a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. In this study, we aimed to compare conservative and surgical treatment modalities.
MATERIALS AND METHODS
We retrospectively reviewed the medical records of 34 patients who visited our hospital with penile fracture and two treatment modalities were compared: conservative (Group I) and surgical (Group II). The five men who refused surgical treatment were treated conservatively, and the other 29 patients underwent surgical treatment.
RESULTS
The most common cause of fracture was sexual intercourse (21/34, 61.8%). The most common sites of fracture were the right (67.6%), ventral (67.6%), and proximal (47.1%) parts of the penis. In Group II, only complication was painful erection (2/29, 6.9%), whereas in group I, 80% (4/5) suffered complications such as wound infection, painful erection, penile nodules with curvature, and erectile dysfunction. All patients treated with surgery successfully recovered without erectile dysfunction.
CONCLUSIONS
Because surgical management gives excellent results, shorter hospitalization, less morbidity, surgical treatment is more effective approach than conservative treatment.

Keyword

Penis; Fracture; Male urologic surgical procedure

MeSH Terms

Coitus
Erectile Dysfunction
Hospitalization
Humans
Male
Medical Records
Penile Erection
Penis
Retrospective Studies
Rupture
Urologic Surgical Procedures, Male
Wound Infection
Wounds, Nonpenetrating