Clinical Results of Diagnosis and Treatment of Penile Fracture: Our Experience of the Past 10 Years

Purpose: This study aims to evaluate the clinical characteristics, diagnostic methods, and surgical outcomes of penile fractures based on the last 10 years of experience while providing insights into managing this rare urological injury. Methods: A retrospective review was conducted on 33 patients who underwent surgery for penile fractures between March 2014 and March 2024. Medical records were systematically reviewed to obtain epidemiological data, patient history, clinical presentation, etiology, operative findings, and postoperative complications. The surgical intervention included a subcoronal degloving incision and repair of the tunica albuginea. Statistical analysis was performed using IBM SPSS Statistics. Results: The mean age of patients was 41.9 ± 13.17 years. The median time from the injury to presentation at the emergency department was 5 hours (with a range of 1 to 24 hours). The most common etiology was trauma during sexual intercourse 57.6%. All patients exhibited hematomas in their medical history and physical examination. Penile ultrasound was performed in 36.4% of cases, detecting cavernosal rupture in all cases. Surgical repair was performed within 24 hours of injury for all patients, with a median hospitalization of 1 day. No early complications occurred, and none of the patients developed erectile dysfunction and penile curvature during follow-up. Conclusion: Early surgical intervention is crucial for optimal outcomes in penile fracture cases. Penile USG can be an effective diagnostic tool, particularly in experienced centers. Prompt admission, diagnosis, and repair significantly reduce the risk of complications such as erectile dysfunction and penile curvature.