Approach to management of penile fracture- Our Three-year experience at a Teaching Hospital

Authors

  • Sunil Basukala Department of Surgery, Nepal Army Institute of Health Science (NAIHS), Sanobharyang, Kathmandu, Nepal https://orcid.org/0000-0001-9853-3160
  • Narayan Thapa Department of Surgery, Nepal Army Institute of Health Science (NAIHS), Sanobharyang, Kathmandu, Nepal
  • Bikash Bahadur Rayamajhi Department of Surgery, Nepal Army Institute of Health Science (NAIHS), Sanobharyang, Kathmandu, Nepal
  • Bikram Basukala Department of Surgery, Nepal Army Institute of Health Science (NAIHS), Sanobharyang, Kathmandu, Nepal
  • Saurav Karki Department of Surgery, Nepal Army Institute of Health Science (NAIHS), Sanobharyang, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jssn.v24i1.41029

Keywords:

Penile fracture, Sexual Intercourse, Tunica Albuginea

Abstract

Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of the two corpora cavernosa; a rupture of both masses is an uncommon finding. We conducted this study to determine the etiology, clinical presentation and to review the causes and management of penile fracture.

Methods: The retrospective study was carried out on 17 patients, admitted in the department of Urosurgery from January 2017 to December 2020 with penile fracture in a tertiary care teaching hospital in Kathmandu. Patient demographic profile, etiology, clinical presentation, time interval from injury to presentation, investigation done, treatment given and intraoperative findings were analyzed.

Results: The main cause of penile fractures was sexual intercourse (82.35%) followed by manual manipulation (17.65%). Crackling sound (100%) followed by penile hematoma and pain were the most common presenting symptoms among the patients.  Surgical exploration and repair of injury was done in all patients.

Conclusion: Most of the time diagnosis of penile fracture can be made reliably by history and physical examination. Early surgical intervention is associated with a good outcome, regardless of the timing of presentation.

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Published

2021-12-14

How to Cite

Basukala, S., Thapa, N., Rayamajhi, B. B., Basukala, B., & Karki, S. (2021). Approach to management of penile fracture- Our Three-year experience at a Teaching Hospital. Journal of Society of Surgeons of Nepal, 24(1), 10–13. https://doi.org/10.3126/jssn.v24i1.41029

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Section

Original Articles