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Presentation, Management and Outcome of Penile Fractures in a Nigerian Tertiary Hospital
Abstract
Background
Penile fracture is a relatively rare acquired urologic condition which may occur following blunt trauma to an erect penis. The aim of the study is to review the presentation, management and outcome of penile fractures in a tertiary hospital in Nigeria over a 7 year period.
Patient and Methods
Medical records of 6 patients with diagnosis of penile fracture seen over a 7 year period were retrieved and information regarding the aaetiology, mode of presentation, treatment, outcome and follow up were recorded.
Results
The mean age of the patients was 32.3 years. Blunt trauma during sexual intercourse was the mechanism of trauma in 5 patients. In one patient it was due to abrupt bending of an erect penis against tight underwear during foreplay. The mean time interval before presentation was 22 hours. All patients presented with the classical symptoms of penile pain, swelling and detumescence. All patients had immediate penile exploration and repair of tunica albuginea via a circumferential sub- coronal incision. The mean period of follow up after repair was 9.3 weeks. Penile erection and sexual function were satisfactory in all patients following repair. Complications noted included mild pain at the site of repair during sexual intercourse in 1
patient and mild lateral deviation in another.
Conclusion
Penile fracture was a rare condition in this centre during the period. The immediate outcome of the repair of penile fracture is satisfactory. Long term follow up is needed to further evaluate patients with this condition.
Key words
Penile fracture, Tunica Albuginea, Repair, Outcome
Penile fracture is a relatively rare acquired urologic condition which may occur following blunt trauma to an erect penis. The aim of the study is to review the presentation, management and outcome of penile fractures in a tertiary hospital in Nigeria over a 7 year period.
Patient and Methods
Medical records of 6 patients with diagnosis of penile fracture seen over a 7 year period were retrieved and information regarding the aaetiology, mode of presentation, treatment, outcome and follow up were recorded.
Results
The mean age of the patients was 32.3 years. Blunt trauma during sexual intercourse was the mechanism of trauma in 5 patients. In one patient it was due to abrupt bending of an erect penis against tight underwear during foreplay. The mean time interval before presentation was 22 hours. All patients presented with the classical symptoms of penile pain, swelling and detumescence. All patients had immediate penile exploration and repair of tunica albuginea via a circumferential sub- coronal incision. The mean period of follow up after repair was 9.3 weeks. Penile erection and sexual function were satisfactory in all patients following repair. Complications noted included mild pain at the site of repair during sexual intercourse in 1
patient and mild lateral deviation in another.
Conclusion
Penile fracture was a rare condition in this centre during the period. The immediate outcome of the repair of penile fracture is satisfactory. Long term follow up is needed to further evaluate patients with this condition.
Key words
Penile fracture, Tunica Albuginea, Repair, Outcome
