Journal List > Korean J Urol > v.50(2) > 1005277

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Kim, Yu, Sung, Noh, and Chung: Long-Term Results of Immediate Surgical Treatment of Penile Fracture
Original Article
Sexual Dysfunction/Infertility
Korean Journal of Urology

Korean Journal of Urology 2009; 50(2): 165-168.

Published online: 25 February 2009

DOI: https://doi.org/10.4111/kju.2009.50.2.165

Long-Term Results of Immediate Surgical Treatment of Penile Fracture

Min Gyun Kim, Ji Hyeong Yu, Luck Hee Sung, Choong Hee Noh, Jae Yong Chung

Department of Urology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Correspondence to: Jae Yong Chung. Department of Urology, Inje University College of Medicine, 761-1, Sanggye 7-dong, Nowon-gu, Seoul 139-707, Korea. TEL: 02-950-1139, FAX: 02-939-6133, chungj90@paran.com

Received 5 June 2008       Accepted 25 November 2008

Copyright © The Korean Urological Association, 2009

Abstract

Purpose

Penile fracture is a rare but serious urological condition. Immediate surgical repair is widely accepted as the treatment of choice in penile fracture. The aim of this study is to investigate the long-term outcome of immediate surgical treatment of penile fracture.

Materials and Methods

This is a retrospective study of 12 men with penile fracture who were treated in the Department of Urology, Sanggyepaik Hospital, Seoul, Korea from January 2000 to June 2005. Diagnosis was made clinically and was confirmed by cavernosography in all our patients. All patients underwent immediate surgical repair, within two days after trauma, using a degloving incision. The long term results of the immediate surgical repair were evaluated using questionnaire on outpatient department visiting or telephoning.

Results

The median patient age was 43 years (range, 18 to 57 years). The median follow-up was 32 months (range, 14 to 60 months). Of these patients, 8 (66.7%) patients were injured during sexual intercourse, whereas 4 (33.3%) patients were injured during masturbation. All patients were treated by immediate surgery. All patients reported satisfactory, painless erectile function; two developed penile curvature and one had a penile nodule.

Conclusions

Immediate surgical repair of penile fracture is effective, restores erectile function, and the incidence of complications is low.

Keywords: Penis, Fracture, Surgery

Figures and Tables

Fig. 1
Corpus cavernosography shows extravasation.
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Fig. 2
Retrograde urethrography shows rupture of penile urethra.
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Table 1
Characteristics and operative findings of rupture of corpus cavernosum in 12 patients
kju-50-165-i001
Table 2
Operative findings and complications
kju-50-165-i002

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