Aetiology, Evaluation and Management of Penile Fracture: Experience at a Teaching Hospital in Central India

• Main Authors: Pushpendra Kumar Shukla, Varsha Shukla, K Sureshkumar, Vivek Sharma
• Format: Article
• Language: English
• Published: JCDR Research and Publications Pvt. Ltd. 2020-07-01
• Series: International Journal of Anatomy Radiology and Surgery
• Subjects: surgical management; ultrasonography; urethral injuries
• Online Access: http://www.ijars.net/articles/PDF/2543/44216_final_F(SHU)_CE[Ra1]_SHU_PF1(AG_SHU)_PFA(SHU)_PB(AG_SHU)_PN(SHU)_PFA2(SHU)_PF2(ShG_OM).pdf

Introduction: Penile fracture is rupture of corpora cavernosa which occurs when the rigid penis is forcibly bent against resistance, leading to the disruption of tunica albuginea. There is classical history and physical examination before reaching upon this diagnosis. Aim: To study the aetiology, clinical presentation and share the experience in evaluation and treatment of penile fracture. Materials and Methods: The retrospective study was carried out on 26 patients, admitted in surgical facility in SS Medical College and associated SGM Hospital, Rewa, Madhya Pradesh, India from January 2014 to December 2018. Patient details like, age, marital status, aetiology, clinical presentation, time interval from injury to presentation, investigation done, treatment given and intraoperative findings were assessed from the hospital records. Results: The main cause of penile fractures was sexual intercourse (65.38%) followed by manual manipulation (26.92%). Ultrasonography (USG) was used for confirmation of diagnosis with sensitivity and specificity of 87.5% and 100%, respectively. Surgical exploration and repair of injury was done in all patients. The unilateral corporal injuries were the most common finding (76.92%). Urethral injuries were found in 11.53%. Conclusion: Most of the time diagnosis of penile fracture can be made reliably by history and physical examination. USG can be useful adjunct in confirmation of diagnosis and planning of incision. Early surgical intervention is standard of care, because it is associated with a good outcome, regardless of the timing of presentation.