Surgical Treatment of Penile Fracture Accompanied by Complete Urethral Rupture

Abstract

Introduction: Penile fracture accompanied by complete urethral rupture is a rare condition. This study aims to evaluate the long-term lower urinary tract symptoms and sexual functions of patients with penile fracture and concomitant complete urethral rupture who underwent urgent surgical reconstruction. Methods: Preoperative, perioperative, and long-term results of five patients who were operated on for complete urethral rupture and concomitant penile fracture were evaluated. Patients were diagnosed by physical examination and retrograde urethrography (RUG). Operation data were recorded and physical examination, International Prostate Symptom Score, International Index of Erectile Function-5 forms, and uroflowmetry results were evaluated to determine long-term results. Results: The mean age of the patients was 35.6±6.3 (25–42) years and the mean follow-up period was 18.4±9.9 months. Penile fracture occurred in three patients during sexual intercourse, one patient during masturbation, and one patient during sleep. Erectile dysfunction was not observed in any patient after the surgery. One of the patients developed anterior urethral stricture and one patient had a 15° ventral curvature during erection. Discussion and Conclusion: Urethrorrhagia and urinary retention are the major signs indicating urethral rupture. In these patients, the urethra should be evaluated with RUG preoperatively. The long-term results of early surgical repair of the corpus cavernosum and urethra in this group of patients are very good.