Delayed Surgical Repair of Penile Fracture under Local Anesthesia
Article first published online: 27 MAY 2008
© 2008 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 5, Issue 10, pages 2464–2469, October 2008
How to Cite
Nasser, T. A. and Mostafa, T. (2008), Delayed Surgical Repair of Penile Fracture under Local Anesthesia. Journal of Sexual Medicine, 5: 2464–2469. doi: 10.1111/j.1743-6109.2008.00851.x
- Issue published online: 1 OCT 2008
- Article first published online: 27 MAY 2008
- Penile Fracture;
- Tunica Albuginea;
Introduction. Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis.
Aim. To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours.
Methods. Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7–12 days, and then a surgical repair under local anesthesia was carried out.
Main Outcome Measures. A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination.
Results. All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4–6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up.
Conclusion. Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement. Nasser TA, and Mostafa T. Delayed surgical repair of penile fracture under local anesthesia. J Sex Med 2008;5:2464–2469.