Only two (3.7%) patients had complications after urethral reconstruction. Nine (14.7%) patients developed erectile dysfunction and eight (13.1%) had penile curvature. Urethral injuries were observed in 54 (18.7%) cases. Unilateral corpus cavernosum injuries were found in 199 (69%) patients and bilateral in 89 (31%) patients. The most common findings in the clinical presentation were hematoma, in all cases and detumescence in 238 (82.6%). Sexual trauma was the main etiological factor, responsible for 255 cases (88.5%): 110 (43.1%) occurred with the “doggy style” position, 103 (40.3%) with “man on top” position, 31 (12.1%) with the “woman on top” position and 11 (4.3%) in other sexual positions. Postoperative complications, sexual and urinary function were evaluated. Medical records were reviewed for clinical presentation, etiology and operative findings. Materials and methods:īetween January 1997 and January 2017, patients with clinical diagnosis of PF were admitted to our facility and retrospectively assessed.
So it’s a good idea to seek medical care as soon as possible.To report our experience over the past 20 years in the diagnosis and surgical treatment of penile fracture (PF). One study showed that 80% of people who did not get surgery had long-term dysfunction of the penis. Delaying medical care for even 8 hours may increase the risk of erectile dysfunction. When not treated, a penile fracture can lead to a permanent curve in the penis and erectile dysfunction. The injury usually needs surgery to explore the extent of the injury and to repair the tunica albuginea. If someone is diagnosed with a penile fracture, a urologist will evaluate them. This can be done with an ultrasound or an MRI. Sometimes testing may be needed to check for a penile fracture. It’s usually easy to diagnose based on the description of how the injury occurred and a physical exam of the penis. Someone who injured their penis in this way should see a healthcare provider right away. How is a penile fracture diagnosed and treated? These symptoms are:ĭifficulty urinating if the tube that carries urine (called the urethra) is injured And they will start right after the injury. The symptoms of a penile fracture will be immediately obvious. For example, this can happen if the penis slips out of the vagina during sexual intercourse and then receives the impact of a forceful thrust. This is because these are situations where the penis could be accidentally bent with force while it is erect. Usually, penile fractures happen during sex or masturbation. But if it’s filled up, it breaks more easily. If a balloon only has a small amount of water, it isn’t easy to pop. It may help to think of the tunica albuginea like a water balloon. So if an abnormal force is applied in just the wrong way, it can tear. But when erect, the tunica albuginea is tense and can’t change shape as easily. When the penis is flaccid (soft), the tunica albuginea is flexible. And it only occurs when the penis is erect. Penile fractures occur when there is a large amount of force applied to the penis. When a penile fracture occurs, the penis can no longer hold the shape of an erection. This is what makes the penis physically stiff during an erection. Inside the penis, there are two important structures:ġ) Corpora cavernosa: These are basically sponges that fill with blood during an erection.Ģ) Tunica albuginea: This is a lining that surrounds the corpora cavernosa, and it holds the blood in place when the penis is erect. What is a penile fracture?Ī penile fracture is a rip or tear in an inner lining of the penis called the tunica albuginea. And it needs prompt medical treatment to prevent permanent dysfunction of the penis. Although it’s rare, a penile fracture is more likely to occur in certain sex positions. It is actually an injury to an inner layer of tissue that holds blood inside the penis. The word “fracture” is slightly misleading - given there is no actual injury to a bone. A penile fracture can occur when an erect penis is forcibly bent.
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