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J Sex Med. 2008 Oct;5(10):2464-9. doi: 10.1111/j.1743-6109.2008.00851.x. Epub 2008 May 26.

Delayed surgical repair of penile fracture under local anesthesia.

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1
Andrology and Sexology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Abstract

INTRODUCTION:

Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis.

AIM:

To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours.

METHODS:

Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out.

MAIN OUTCOME MEASURES:

A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination.

RESULTS:

All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up.

CONCLUSION:

Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.

[Indexed for MEDLINE]

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