Management of penile fracture at Keffi, north central Nigeria-Case Series

Abstract

Background: Fracture of the penis is a urological emergency. It is infrequent though increasing in our environment due to rise in over-zealous and vigorous sexual practices.

Patients: Four cases of penile fracture managed at our centre whose ages range between 25 - 45 years and who presented at three days, two weeks, one week, and three hours duration respectively. Diagnosis was made by clinical history and examination findings suggestive of penile fracture.

Intervention: All the patients had surgical repair of the rents in the tunica albuginea and a primary urethroplasty for the patient who had an associated urethral injury. The repairs were done using a vicryl suture.

Results: Two patients had penile fracture following sexual intercourse (one was from reverse coital position) and the other two had penile fracture from masturbation with one having associated urethral rupture. The four patients had surgical repair. Two of the patients had satisfactory sexual function and voiding post repair and two defaulted on follow-up.

Conclusion: Most patients with penile fracture still present late in our environment. Immediate surgical repair is advocated in order to ameliorate morbidity.