What is the best Treatment of Penile Fractures? Conservative or Surgical?: Experience in 34 cases.
- Author:
Sang Jin YOON
1
;
Ho Ki PARK
;
Han JUNG
;
Kwan Joong JOO
;
Khae Hawn KIM
Author Information
1. Department of Urology, Gachon University Gil Hospital, Incheon, Korea. kimcho99@medigate.net
- Publication Type:Original Article
- Keywords:
Penis;
Fracture;
Male urologic surgical procedure
- MeSH:
Coitus;
Erectile Dysfunction;
Hospitalization;
Humans;
Male;
Medical Records;
Penile Erection;
Penis;
Retrospective Studies;
Rupture;
Urologic Surgical Procedures, Male;
Wound Infection;
Wounds, Nonpenetrating
- From:Korean Journal of Andrology
2010;28(1):22-27
- CountryRepublic of Korea
- Language:English
-
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.
