Early Surgical Treatment of Penile Fracture: Our Experience with 19 Patients

Aim: We aimed to evaluate the outcomes of patients who underwent surgical treatment due to penile fracture. Material and Method: Between 2007 and 2013, a total of 19 patients admitted to our hospital for penile fracture treated with early surgical repair were included in the study. In the pre-operative period, Age, first-five questions version of International Index of Erectile Function (IIEF-5) scores, penile fracture etiology, penile fracture formation, duration until referred to our hospital and duration of hospitalization were retrospectively obtained from medical data of patients. In the post-operative period, IIEF-5 scores, loss of penile sensation, painful erection and penile curvature development were evaluated. Results: The mean age of patients was 37.8 years. The mean follow-up time was 33.4 months. The mean time until the surgery and pre-operative IIEF-5 score were 11.1 hours and 22.7, respectively. In pre-operative period, 1 patient had mild-moderate degree erectile dysfunction (ED), 3 patients had mild degree ED. Fifteen patients had no ED. The mean of post-operative IIEF-5 score was 19.3. There was a significant difference between pre-operative and post-operative IIEF-5 scores (p=0.01). In the post-operative period, penile curvature was detected in 5 (26.3%), painful penile erection in 4 (21%) and loss of penile sensation in 2 (%10.5) patients. Discussion: In light of our results, we believe that patients who undergo early penil fracture surgery should be well informed in terms of possible penile curvature, painful erections and ED development