Does Timing of Presentation of Penile Fracture Affect Outcome of Surgical Intervention?

Abstract Objective To assess the effect of timing of presentation of cases with penile fracture on the outcome of surgical intervention. Patients and Methods Between January 1986 and May 2010, 180 patients with penile fracture were treated surgically in our center. To assess the effect of timing of...

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Published in:Urology (Ridgewood, N.J.) N.J.), 2011-06, Vol.77 (6), p.1388-1391
Main Authors: El-Assmy, Ahmed, El-Tholoth, Hossam S, Mohsen, Tarek, Ibrahiem, El Housseiny I
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Emergency Medical Services - organization & administration
Humans
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Penile Diseases - diagnosis
Penile Diseases - pathology
Penile Diseases - surgery
Penis - surgery
Rupture - surgery
Sexual Dysfunction, Physiological - diagnosis
Sexual Dysfunction, Physiological - etiology
Surveys and Questionnaires
Treatment Outcome
Ultrasonography, Doppler - methods
Urologic Surgical Procedures - methods
Urology
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Summary:Abstract Objective To assess the effect of timing of presentation of cases with penile fracture on the outcome of surgical intervention. Patients and Methods Between January 1986 and May 2010, 180 patients with penile fracture were treated surgically in our center. To assess the effect of timing of presentation, patients were classified into 2 groups: group I with early presentation (≤24 hours) and group II with delayed presentation (>24 hours). All patients were contacted by mail or phone and were re-evaluated. All patients were reevaluated by questionnaire and local examination. Patients with erectile dysfunction were evaluated by color Doppler ultrasonography. Results Group I included 149 patients (82.8%) and group II included 31 (17.2%). In group I, patients presented to the emergency department from 1-24 hours (mean, 11.8) after occurrence of the penile trauma. Although patients in group II presented from 30 hours to 7 days (mean, 44.7 hours). Both groups were similar regarding etiology of injury, clinical presentation, surgical findings, and incidence of associated urethral injury. Mean follow-up period for group I was 105 months, and for group II it was 113 months. After such long-term follow up, 35 (19.4%) patients had complications; however, there was no statistically significant difference between both groups. Conclusions Cases of penile fracture with early or delayed presentation up to 7 days should be managed surgically. Both groups have comparable excellent outcome with no serious long-term complications.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2010.12.070