Penile fracture a review of management

Objective: To discuss the clinical features and treatment of penile fracture in the light of the current practice.
Patients/Method Three patients with penile fracture were seen at the Urology Clinic of Lamordé National Hospital in Niamey, Niger between January 2003 and April 2006. All underwent emergency surgery which involved an elective incision at the site of the fracture, debridement and primary repair of the tear in the tunica albuginea.
Results: The mean age of patients was 32, 6 ± 7 years. Two of them were married and one was single. One patient presented within 3 hours after injury, the others within 7 and 15 days. Penile fracture was due to "faux pas of coït" in two cases and manipulation of the erect penis in one. The mean hospital stay was 16, 4 days (range 7 to 28 days). The only postoperative complications were wound infection, residual fibrosis due to extensive surgery, mild dysuria and penile angulation in one patient. All patients had full erection and no one needed additional treatment.
Conclusion. To avoid serious complications and preserve penile function, immediate surgical intervention is recommended in case of penile fracture.