Effects of penile fracture on sexual function
DOI: 10.22591/magyurol.2023.3.schnemannb.133
Authors:
Schnémann Bence dr., Murányi Mihály dr., Drabik Gyula dr., Flaskó Tibor dr.
Debreceni Egyetem, Klinikai Központ, Urológiai Klinika, Debrecen (igazgató: Flaskó Tibor dr.)
Summary
Objective: Penile fracture is a rupture of the tunica albuginea covering the corpora cavernosa, duo to trauma when an erect penis is bent forcefully. There are two late complications that affect the sexual function: erectile dysfunction and penile curvature. The aim of our retrospective study was to survey the probability of developing erectile dysfunction or penile curvature after the surgical reconstruction of the tunica albuginea in patients with penile fracture treated in the past ten years in our department.
Patient and methods: Between 2011 and 2020, five patients were treated with penile fracture. The average age of the patients was 44 (range: 21–61) years. Urgent exploration and reconstruction of the corporal bodies was performed in all cases. Erectile function was evaluated by the International Index of Erectile Function (IIEF-5) questionnaire. The questionnaire was completed with an additional question related to the development of penile curvature.
Results: The tunica albuginea of corpus spongiosum was injured in two cases, but injury involving the full thickness of the urethra were not detected. The mean hospital stay was 2 days (1–3). No postoperative complications were observed. Four of five patients filled out the questionnaire. The index of the quality of erectile function was 23 (20–25) in average, no penile curvature occurred.
Conclusion: Conservative treatment of penile fracture has a high incidence of late complications. Therefore, once the fracture has been established, urgent exploration, removal of the subcutaneous haematoma and reconstruction the tunica albuginea are necessary. Our research strengthens the thesis, that sexual adverse effects may prevent with early surgical reconstruction of penile fracture.