igorous sexual intercourse was found to be the most common
cause of penile fracture. Urethral injury, although rare, may be associated
with substantial long-term morbidity such as fistulas and strictures.Immediate
surgical approach is recommended by most authors. Immediate surgical
intervention has low morbidity, short hospital stay, rapid functional recovery,
and no serious long-term sequelae (erectile dysfunction, painful erection,
penile deviation or palpable scarring - Scar formation was highly associated
with non-absorbable sutures.
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The possibility of urethral injury must always be kept in
mind while evaluating such patients. For some authors contrast studies or
endoscopic evaluation may prove helpful
while others authors conclude that the management of a penile fracture
should not include any further investigation than surgical exploration.So
basically, a penis fracture diagnosis is mostly clinical complementary tests,
such as ultrasound, are helpful but not definitive. Surgical treatment consists
of an incision that allows adequate exposure of the corpora cavernosum and urethra
to repair the suspected lesions found upon diagnosis.
Surgical repair has a good functional outcome and low
complication rates in the long term. Immediate or delay surgery has been often
discussed. Although Kozacioglu et al. published that neither serious
deformities nor erectile dysfunction occur as a consequence of a delay in
surgery (in patients with no urethral involvement), an immediate surgical
approach is strongly recommended.52 years old man presented at emergency room
with a clinical suspicious of penile fracture after sexual intercourse.
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