Penile fracture: 4 cases managed at referral hospitals in Rwanda

Abstract

Penile fracture is an underreported yet increasingly recognized urological emergency, predominantly diagnosed clinically. Prompt surgical intervention is pivotal for favourable outcomes. This report details 4 cases of penile fracture effectively managed in low-income environments. Over a period of 16 consecutive months, 4 individuals presented with penile fractures at 3 referral hospitals in Kigali, Rwanda. Their ages varied from 28 to 48 years. In 3 patients, the fractures occurred during sexual intercourse; the other fracture occurred during masturbation. The diagnoses were established clinically, with 2 instances involving concurrent urethral injuries. Postoperatively, all patients regained normal sexual and urinary function. Enhanced access to healthcare and urological services in Rwanda may lead to an increase in diagnosed penile fractures. Effective clinical evaluation was crucial for diagnosis. Prompt consultation, anticipation of potential associated injuries, and the adoption of suitable surgical methods were instrumental in achieving favourable outcomes. Penile fracture is a rare yet critical urological emergency. Public awareness should be raised, and clinicians in Rwanda and the surrounding region must be prepared for timely diagnosis and management of this condition.