Surgical Repair of Penile Fractures: Outcomes of a Prospective Mono-Centric Case Series Study

Department of Urology, University Hospital Center IbnRochd Casablanca and Faculty of Medicine and Pharmacy of Casablanca, Morocco

*Corresponding author: Dr. Mahmoud Alafifi, Department of Urology, University Hospital Center IbnRochd Casablanca and Faculty of Medicine and Pharmacy of Casablanca, 19 Tarik  ibnou quartiers des hôpitaux, Morocco, Phone: +212700148612, E-mail: [email protected].

Received Date: March 18, 2024

Published Date: April 01, 2024

Citation: Al-Affifi M, et al. (2024). Surgical Repair of Penile Fractures: Outcomes of a Prospective Mono-Centric Case Series Study. Mathews J Urol Nephrol. 6(1):16.

Copyrights: Al-Affifi M, et al. © (2024).

ABSTRACT

Background: Penile fracture is a traumatic rupture of the tunica albuginea with subsequent subcutaneous hematoma with or without rupture of the corpus spongiosum and the urethra. Methods: On a duration of 6 years, we carried prospectively a single-center case-series study on fractures of the cavernous bodies of the penis within the urology department. The parameters studied were: age, mechanism of occurrence, clinical and surgical data, and then postoperative follow-up. Checks had been carried out on the 1^st and 2^nd week and 1^st, 3^rd, and 6^th month. The complications were: aesthetic and functional; erectile dysfunction was assessed according to the International Erectile Function Index (IIEF-5). This work has been reported in line with the PROCESS criteria. Results: 214 patients were enrolled in the study, the average age was 39.74 years, the majority were married (66.8%). The most present clinical signs were crackling and detumescence, hematoma, and tumefaction. Misstep of coitus was the predominant mechanism followed by forced maneuver. Only 29.4% of patients had ultrasounds, and the fracture was seen in 71.42% of cases. The most used incision was coronal (80%), and 21.96% had aesthetic and/or functional complications after surgery. Conclusion: Penile fracture is primarily caused by forced maneuvers during an erect state or sexual activity. Inadequate or delayed treatment can result in functional and aesthetic complications, as observed in 21.96% of cases in our study. There is a correlation between the duration of sexual abstinence and the extent of the fracture line.

Keywords: Penile Fracture, Corpora Cavernosa, Surgery Outcome, Erectile Dysfunction.