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Radiological evaluation and our surgical experience in patients with penile fracture

Aim: We aimed to investigate the clinical features, diagnostic methods and surgical methods and results of patients who presented with penile fractures. Material and Methods: The data of 18 patients who underwent surgical treatment between December 2008 and 2018 in our clinic were evaluated retrospectively. Age and etiologic factors were evaluated. Following physical examination, all patients underwent superficial penile ultrasonography in the radiology clinic. Ultrasonically, length, location and side of the rupture were determined. The patients were questioned by the postoperative IIEF-5 questionnaire. Pre and post-operative complications were evaluated in patients. Postoperative erectile functions were evaluated. Results: The mean age was 39.22 ± 14.47 (19-67). The time to contact the emergency department was 4.33 ± 1.97 hours (2-8 hours). In the history of the patients, the causes of the penile fracture included the forceful manipulation of the penis in 5 patients (27.8%), rolling over in the bed while sleeping in 5 patients (27.8%), sexual intercourse in 6 patients (33.3%) and masturbation in 2 patients (11.1%). Mean rupture in tunica albuginea was 12.66 ± 3.06 mm (8-20mm). While 11 (61.1%) of the defects were detected in the right corpus spongiosum, 7 (38.9%) were detected in the left corpus spongiosum. The tunica albuginea defect was located in the distal penile in 14 patients (77.8%), in the midpenil in 3 patients (16.7%) and in the proximal penile in 1 patient (5.5%). The mean hospital stay was 3 ± 0.90 days (2-5 days). Postoperative the IIEF-5 score was 26.05 ± 1.55 (23-29). Conclusion: Penile fracture is a rare urologic emergency that can be diagnosed clinically. Radiological imaging may be required in suspected cases. Early surgical treatment provides successful results in terms of functional, cosmetic and erectile functions.