Objectives. Fracture of the penis is an uncommon injury that results from trauma to the erect penis, usually during sexual intercourse. In some cases, the urethra is injured as well. To determine the outcome of immediate surgical management, we reviewed the cases of 8 patients with fracture of the penis who presented to the Cleveland Clinic from 1992 to 1998.
Methods. Trauma was encountered during intercourse in all our patients. A concomitant urethral injury was found in 3 cases (38%); 1 was a complete disruption, and the other 2 were partial injuries. Patients were treated with immediate surgical exploration and repair, with preoperative urethrography in patients suspected of having a urethral injury.
Results. All patients had a successful outcome, with preservation of sexual function and without significant penile curvature. Patients with urethral injuries reported normal voiding without the need for additional procedures.
Conclusions. Immediate surgical repair offers complete recovery for patients with penile fracture in most cases, even in the presence of urethral injury. We present our recommendations for treatment of this condition.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Urology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Penile fractures: evaluation, therapeutic approaches and long-term results.J Urol. 1996; 155: 148-149
- Management of fracture of the penis in Qatar.Br J Urol. 1991; 68: 622-625
- Fracture of the penis: surgical management.Int Surg. 1988; 73: 63-64
- Experience with penile fractures in Egypt: long term results of immediate surgical repair.J Trauma. 1993; 35: 67-70
- Fractures of the penis seen in Abu Dhabi.J Urol. 1985; 134: 274-275
- Fracture of the penis and long-term results of surgical treatment.Br J Urol. 1986; 58: 551-552
- Rupture of the deep dorsal vein of the penis during sexual intercourse.J Urol. 1992; 147: 150-152
- Traumatic rupture of the corpus cavernosum: evaluation and management.J Urol. 1990; 144: 987-991
- Rupture (fracture) of the penis.J Urol. 1954; 71: 226-229
- Traumatic rupture of the corpus cavernosum.J Urol. 1971; 105: 407-408
- The erect penis—injury prone organ.J Trauma. 1988; 28: 124-126
- Fracture of the penis: traumatic rupture of the corpora cavernosa.J Urol. 1957; 78: 620-627
- Rupture of the corpus cavernosum. Surgical management.J Urol. 1983; 130: 917-919
- Fracture of the penis: conservative versus surgical treatment.Eur Urol. 1987; 13: 166-168
- Traumatic rupture of the corpus cavernosum.Br J Urol. 1991; 68: 626-628
- Corpus cavernosography in acute fracture of the penis.Am J Radiol. 1979; 133: 331-332
- The value of magnetic resonance imaging in the diagnosis of penile fracture with atypical clinical findings.J Urol. 1996; 155: 1924-1927
- Sonography in fracture of the penis.Br J Urol. 1993; 72: 228-229
- Fractured penis.Am J Radiol. 1989; 153: 1009-1010
- The role of corpus cavernosography in acute fracture of the penis.Radiology. 1982; 144: 787-788
- Magnetic resonance imaging of penile rupture: aid to diagnosis.J Urol. 1995; 153: 1927-1928
- Penile fracture: operative management and cavernosography.Urology. 1983; 22: 394-396
- Penile fracture: emergency surgery for preservation of penile functions.Andrologia. 1991; 23: 309-311
- Inguinal scrotal incision for penile fracture.J Urol. 1998; 159: 182-184
- New surgical approach for operative management of penile fracture and penetrating trauma.Urology. 1992; 34: 429-432
- Traumatic injury of the penis: surgical management.Scand J Urol Nephrol. 1996; 30: 517-519
- Fracture of the corpora cavernosa and urethral rupture during sexual intercourse.Br J Urol. 1991; 67: 327
- Penile fracture: an unusual presentation with lacerations of bilateral corpora cavernosa and partial disruption of the urethra.Urology. 1994; 44: 599-601
Accepted: February 11, 1999
Received in revised form: February 11, 1999
Received: December 23, 1998
© 1999 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.