Siddique Ahmad, Ziaul Haq, Mazhar Khan.
Clinical diagnosis of penile fracture.
J Med Sci Jan ;19(4):189-91.

Objective: To determine the accuracy of clinical diagnosis in penile fracture. Material and Methods: This descriptive study was conducted in the Surgical Unit, Hayatabad Medical Complex, Peshawar from January 2007 to December 2009. All patients presenting with blunt penile trauma were included in the study. Patients’ age, activity leading to injury, symptoms and signs were recorded. Diagnosis was made clinically and confirmed with operative findings. Results: Total number of 39 patients was included. Age range was 21 to 49 years with a mean age of 28 years ± 4SD. The commonest cause of fracture was sexual trauma in 41.03% of the cases. Clinical diagnosis as penile fracture was correct in 100% of cases, while in 97.43%, the side of rupture i.e. right or left, was also correctly determined pre-operatively. The site of fracture i.e. proximal, middle and distal penile was correctly diagnosed in 79.48% of the patient’s pre operatively. Complete recovery took place in all the patients following immediate surgical repair. On six month followup only 5 patients complained of mild pain during erection and 3 had slight curvature of the penis, which did not hamper sexual function. Conclusion: Clinical diagnosis of penile fracture is easy and accurate. No further investigations are required.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com