Management of Penile Fractures.

Introduction and objectives. Penile fractures is rare medical condition and is a major urological emergency. Surgery is considered the standard therapy. In some cases it can be applied a conservative therapy. This study aims to assess the results of the two therapies in penile fractures. Material and Methods. Between January 2007 and October 2019 in Tirgu Mures Urology Clinic a total of 6 patients were admitted with penile fracture. At 4 of these patients we performed surgery intervention for treatment of penile fracture and at 2 of them conservative therapy because they refused surgery. We followed hospitalization period, the occurrence of penile angulation during erection and erectile function at more than 3 months post therapy using International Index of Erectile Function (IIEF). Results. Mean age was 37,35 years for patients with surgical therapy vs 22 years for patients with conservative treatment. Average days of hospitalization was 8,75 days vs 9 days. Average IIEF 1-5,15 at 3 months after surgery was 23,25 for the patients who undergone surgery and 27 for the patients with conservative treatment. Average IIEF 1-5,15 at 12 months after surgery was 22 for the patients who undergone surgery and 28 for the patients with conservative treatment. 2 patients with penile fracture were not subsequently presented to the control and we do not have data about erectile function at 12 months. In 1 patient with conservative treatment there was a slight angulation of about 10 degrees. The patient who had concomitant urethral involvement with the penile fracture had erectile dysfunction prior to trauma. For all patients with penile fracture we recommended a period of sexual abstinence for 8 weeks. Conclusions. Penile fracture although it is a rare pathological entity, it must be quickly diagnosed. The indicated treatment is the surgical one, the only one that ensures a reduced rate of complications. The conservative treatment being indicated only to the patients who refuse the surgery. Even though in our study erectile function was superior for patients treated conservatively, this is due to the presence in the group of patients treated surgicaly of a patient with middle/severe erectile dysfunction. [ABSTRACT FROM AUTHOR]