All patients were discharged on the post-operative day 3 except one who had wound infection he was discharged on the postoperative day 5. Only one patient had immediate wound infection, which healed by secondary intention. All patients had catheter removed on the 2 nd postoperative day except the one who underwent urethral repair in whom catheter was removed on the 7 th postoperative day. One patient who had tunical tear with urethral transection, the urethra repaired with vicryl 4-0 interrupted suture over a 14 Fr Foley's catheter. All patients were catheterized with 14 Fr foley's catheter. Intraoperative complications were not reported. Tunical defect was repaired in a single layer, interrupted, inverted with nonabsorbable suture ethylon 4-0. All patients were followed up after 1, 3, 6, and 12 months for postoperative complications like wound-related complications, penile curvature, nodule, as well as for voiding and sexual function status. It was removed on the 2 nd postoperative day except in one patient who underwent urethral repair catheter was removed on the 7 th postoperative day. Foley's catheterization was done in all patients. A standard operative management technique was adopted for all patients, including careful examination of all the three corpora and urethra through a subcoronal degloving incision, thorough wound toilet, and corporal and tunical repair with interrupted inverted nonabsorbable sutures. Each patient underwent thorough evaluation, including history taking, examination, RGU (retrograde urethrography) for suspected urethral injury and cavernosography in doubt. Between January 1, 2016, and December 31, 2019, 14 patients with blunt trauma to the erect penis were included in the study after prior informed consent. We present our experience in the management of 14 cases of penile fracture, including their presentation, causes, treatment, and complications. Complications of penile fracture include penile curvature related to late treatment of the condition, feeling of nodular swelling, urethral stricture, and urethral cutaneous fistula. Associated urethral injury can be managed conservatively or surgically, depending on the situation. The current standard protocol for the treatment of fracture penis includes immediate surgical exploration of penis involving degloving of the penis, hematoma evacuation, and suturing of rent in tunica albuginea with nonabsorbable suture. Cases of penile fracture if not managed properly may have severe physical and functional complications. When there is difficulty in diagnosing such cases, imaging techniques like ultrasonography with Doppler, retrograde urethrography (RGU) help to confirm diagnosis. Fair number of patients have associated urethral injuries. However, fear and embarrassment for a patient cause delay in the requirement of medical treatment, which may result in poor outcomes in terms of his voiding and sexual function.įracture penis results in “eggplant deformity” of the penis due to hematoma, bruising, and deformity. History and clinical examination reveal the typical symptoms and signs of penile fracture, which helps in early diagnosis. Audible “cracking” sound, immediate detumescence, pain, and swelling are the classic triad present in penile fracture, which makes diagnosis easy. During abnormal positional sexual intercourse, rolling over the bed, masturbation, or fall onto the erect penis are usual causes which cause abrupt bending of the erect penis by blunt trauma. Fracture penis is a rare injury due to rupture of the corpora cavernosal tunica albuginea that is commonly seen with tumescence.
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