Diagnosis and management of the fracture of the Penis - a seven year experience at Jinnah Hospital, Lahore

Abstract

Objective: To establish that management of penile fractures by operative repair of corporeal tear is safe and effective because operative repair speeds recovery and lessens the chance of erectile deformity or dysfunction, Design: A prospective study, Place and duration of study: This study was conducted in the department of Urology of Allama Iqbal Medical College/Jinnah Hospital, Lahore from December, and 1995 to October 2002. Material and Methods: Twelve patients with fracture of penis have been treated in this department during the last seven years. Their mean age was 38 years (range 21-53) and 58% of the injuries resulted from coitus, All these patients underwent immediate surgical exploration, which included degloving of the penis, evacuation of the hematoma and closure of the corporeal tear, Results: During the follow up period, all patients reported firm and straight erections, Postoperatively, there was no infection, hematomas or complaints of a lack of penile sensation. The patients did not report any disturbances in sexual function. Conclusion: We conclude that operative management of fractured corporeal body is safe and effective.