Roohul Muqim, Qutbe Alam Jan, Muhammad Zarin.
Management of Penile fracture.
Pak J Med Sci Jan ;22(1):23-7.

Objective: To document the clinical presentations, diagnostic methods and therapeutic approach for the patients presenting with penile fracture and out comes of the treatment. Design: Prospective observational study Place and duration of study: Surgical `C` and `B` Ward of Khyber Teaching Hospital Peshawar, Pakistan, from January 2001 to December 2004. Subjects and Methods: 17 patients presenting with fracture of the penis during this period were included in the study after approval from the Hospital Ethics` Committee. Age, marital status, activity leading to the injury, symptoms and signs, management and outcome were recorded on a proforma designed for the purpose. Results: The common age group was 30-50 years with 13 (76.47%) patients in this group, 14 were married and 3 were students. Eleven (64.70%) cases of fractures occurred during sexual intercourse and 6 cases due to non-coital causes including masturbation and manipulation. Fifteen patients recalled a popping sound, immediate detumescence and deviation were present in all, penile swelling and hematoma in 15 while the tunical defect was easily felt in 2 patients. Diagnosis was made clinically and was confirmed on surgical exploration. Repair of tunical defect was done with vicryle 2/0. No urethral injury was encountered. Out come was excellent and all patients regained complete penile function at 3 months follow up. Mild penile curvature was seen in 5 patients but it did not interfere with erection or sexual activity. Conclusions: Penile fracture is an entity with typical clinical signs and no further investigations is usually needed. Management is surgical and immediate to avoid complications related to erectile dysfunction.

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