Abstract
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.
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Article info
Publication history
Accepted:
February 11,
1999
Received in revised form:
February 11,
1999
Received:
December 23,
1998
Identification
Copyright
© 1999 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
