Publication:

Penile fracture and its management

Fracture penis is a rare surgical emergency that is also underreported and treatment often delayed due to embarrassment felt by the patient. The condition is one of some uncommon emergencies which are fully diagnosed through history and clinical examination.  Only a few cases need USG or color Doppler as a supportive tool for diagnosis. Penile fracture commonly occurs due to slippage of the penis out of the vagina during sexual intercourse. Generally patient presented to surgical emergency within 48 hours of injury can be handled successfully with minimum complications. The immediate surgical exploration with evacuation of the hematoma and repair of tunica albuginea defect is the ideal treatment. Postoperatively the patient may have erectile dysfunction, but this is self-limiting, normalising in 3-4 months.