Urethral rupture concomitant with penile fracture does not adversely affect functional outcomes
Hasan Yilmaz1, Ibrahim Erkut Avci1, Naci Burak Cinar1
1Department of Urology, Kocaeli University, School of Medicine, Kocaeli, Turkey.
Urologia
|December 14, 2022
Summary
Older age may indicate a higher risk of urethral rupture in penile fracture patients. Surgical repair of urethral rupture does not negatively impact long-term sexual function or increase complications.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is a traumatic injury often associated with urethral rupture.
- Identifying risk factors and understanding repair outcomes are crucial for patient management.
Purpose of the Study:
- To identify risk factors for urethral rupture in penile fracture patients.
- To evaluate the long-term functional outcomes and complications following urethral rupture repair.
Main Methods:
- Retrospective review of medical records of penile fracture patients.
- Comparison of patients with and without urethral rupture based on demographics, clinical, and intraoperative findings.
- Assessment of functional outcomes using the International Index of Erectile Function (IIEF-5) and International Prostate Symptom Score (IPSS).
Main Results:
- Older age was associated with urethral rupture (p=0.052).
- Urethral bleeding and bilateral corpus cavernosum rupture were significantly higher in patients with urethral rupture (p<0.001).
- No significant differences were found in functional outcomes (IIEF-5, IPSS), erectile dysfunction rates, or complication rates between groups (p>0.05).
Conclusions:
- Older age is a potential risk factor for concomitant urethral rupture in penile fractures.
- Urethral rupture repair does not adversely affect functional outcomes or increase complication rates.
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