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Traumatic rupture of the corpus cavernosum
L B Tan1, C P Chiang, C H Huang
1Department of Urology, Kaohsiung Medical College Hospital, Taiwan, China.
British Journal of Urology
|December 1, 1991
Summary
Penile fracture, often caused by coitus, requires prompt surgical repair. Immediate exploration and repair of the tunica albuginea significantly improves outcomes and restores normal penile function, avoiding long-term complications.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is a rare but serious injury.
- Coitus is the most common cause of penile fracture.
Purpose of the Study:
- To evaluate the outcomes of immediate surgical repair versus conservative management for penile fracture.
Main Methods:
- Retrospective review of twelve patients treated for penile fracture over 18 years.
- Eleven patients underwent immediate surgical exploration and tunica albuginea repair.
- One patient was treated conservatively.
Main Results:
- Eleven of twelve patients treated with immediate surgery had successful outcomes with no sexual dysfunction.
- The one patient treated conservatively remained impotent.
- Immediate surgery prevented penile plaque, fibrosis, and angulation.
Conclusions:
- Immediate surgical intervention for penile fracture is the preferred treatment.
- Surgical repair accelerates functional recovery and prevents long-term complications.