What is it about?
Traumatic rupture of the corpus cavernosum of the penis is rare and has been reported infrequently. We demonstrated the moderate frequency and most common etiologies of this condition.
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Why is it important?
In our experience penile fracture is a moderately common injury that is easy to diagnose but there is some controversy about the therapeutic approach. Many support the necessity for immediate surgery. Patients in whom treatment was delayed presented with a residual fibrous area associated with slight deviation of the penis during erection. However, regular sexual function was possible. Late or postponed surgery achieved less favorable results due to urinary extravasation, fibrous tissue formation, sepsis and incision of deeper intracavernous fibrotic tissue."
Perspectives
Prompt surgery allows for earlier resumption of sexual activity with less likelihood of fibrous tissue formation, chordee, painful erection and psychophysical, social or medicolegal problems. Postoperative complications were noted only in patients who underwent delayed repair. When treatment is not performed initially the resultant penile curvature may be repaired by delayed surgical exploration with either excision of the organized hematoma, delayed repair of the laceration or placement of a dermal graft within the defect.
Dr Mohammad Reza Safarinejad
University of Medical Sceices
Read the Original
This page is a summary of: Penile Fractures: Evaluation, Therapeutic Approaches and Long-Term Results, The Journal of Urology, January 1996, Wolters Kluwer Health,
DOI: 10.1016/s0022-5347(01)66578-9.
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