Patients were classified into two groups: Group A, patients undergoing early repair (≤24 h), and Group B, patients undergoing delayed repair (>24 h) of fractured penis. Patients with penile fracture were included in this study. Written informed consent was obtained from all patients before enrollment. 40) and conducted in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the institutional ethics committee (approval no. Medical College and Hospital, Cuttack, Odisha, India, between January 2016 and June 2018. Therefore, the present study aimed to compare the long-term effects of immediate versus delayed surgical repair of penile fractures on postoperative ED, fibrous tunica plaques, and chordee formation.Ī prospective observational study was conducted at the Department of Urology, S.C.B. It is currently still debatable if delays in repair offer similar long-term patient outcomes. However, a few previous studies have reported that maintenance of erectile potency and long-term overall sexual satisfaction are similar in patients with penile fractures irrespective of the time of surgical repair. Early presentation and immediate surgical repair of penile fracture are considered better because of the excellent long-term outcomes in terms of low risk of erectile dysfunction (ED) and good overall sexual satisfaction. ,, , The main challenge in the management of penile fracture is the delay in seeking medical care due to fear of embarrassment, poverty, or ignorance.
#Penile fracture surgery series#
Previous series of reports recommend management of these patients with immediate surgical repair due to associated minimal risk of postoperative complications, as compared to conservative management. ,, Most of the patients with penile fracture experience immediate severe pain, penile detumescence, rapid swelling, hematoma, urethral bleeding, and widespread ecchymosis. The etiology of penile fractures varies greatly, which includes sexual intercourse, masturbation, direct blunt trauma, sudden forced flexion, and rolling over in bed. Penile fracture is a rare urological emergency resulting from the rupture of the tunica albuginea of corpus cavernosum. Assessment of long-term outcomes with immediate versus delayed surgical repair of penile fractures. How to cite this URL: Haque MF, Paul AS, Swain S, Goyal G. How to cite this article: Haque MF, Paul AS, Swain S, Goyal G. Keywords: Erectile dysfunction, reconstruction, trauma Conclusion: The results showed that delayed repair did not affect the long-term outcome with no major impact on erectile function and overall sexual satisfaction. All the three patients with urethral injury repaired had mild degree of ventral chordee with a satisfactory erection and a good penetration. None of the patients from both groups reported ED. Penile paresthesia ( n = 2) and penile curvature ( n = 3) were observed in Group A, while penile paresthesia ( n = 3) was also reported in Group B. The most common reason for delay in presentation was fear/embarrassment (75.00%). Penile ecchymosis/swelling and pain were present in all the patients of Group A ( n = 13), while typical pop-up sound was heard by eight patients (61.54%) of Group A and six patients (75.00%) of Group B. The common cause of penile fracture was masturbation ( n 1 = 5 n 2 = 5 ) and sexual intercourse ( n 3 = 7 n 4 = 4 ) in Groups A and B, respectively. Results: A total of 21 patients (early surgical repair, n = 13 delayed surgical repair, n = 8) were enrolled in this study. Data were presented using summary statistics. Details of injury, symptoms, treatment, and long-term outcomes (up to 12 months) were collected. Materials and Methods: This is a prospective observational study conducted between January 2016 and June 2018, which included patients with penile fracture. This study aimed to compare the long-term effects of immediate versus delayed surgical repair of penile fractures on postoperative ED, fibrous tunica plaques, and chordee formation. Purpose: Penile fracture may affect erectile dysfunction (ED) and overall sexual satisfaction.
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