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Original ArticleOpen Access
Penile Fracture : Long-Term Outcome of Treatment
Kochakam W 
,
Viseshsindh V ,
Muangman V
,
Viseshsindh V ,
Muangman V WACHIRA KOCHAKARN, M.D.*,
VIRA VISESHSINDH, M.D.*,
VERAS lNG MUANGMAN, M.D.*
Objective : Penile fracture is a rare injury, usually resulting from direct trauma to the erect
penis during sexual intercourse. Immediate surgical treatment is the basis for the treatment of this
injury due to the high rate of complications associated with delayed management. The aim of this
study was to evaluate the clinical presentations, diagnostic methods, and outcomes of the treatment.
Material and Method : We retrospectively studied patients with penile fracture treated at
Ramathibodi Hospital from 1975 to 2000. Clinical presentation, diagnostic methods, technique of
treatment and outcomes of treatment were noted.
Results : Twelve patients were found in this study. The mean patient age was 32 years
old (range 19-42). The interval from time of injury to presentation was 3-48 hours. Of these patients
10 had been injured during sexual intercourse (83%) while 2 had been injured during masturbation.
All patients presented with a very suggestive clinical picture (pain, detumescence and hematoma).
No further investigation was needed for confirming the diagnosis. One case had urethral bleeding,
therefore, retrograde urethrogahpy was performed but no extravasation of contrast media was noted.
All patients were treated by immediate surgery, through a circular subcoronal incision and deglov-
ing of the penis to allow a thorough exploration. All of the patients had a tunica albuginea tear
that was promptly repaired. No associated urethral larceration was noted. All of the patients did very
well after surgery and two had mild curvature, which had not hindered intercourse at follow-up
(mean time of 24 months).
Conclusions : Penile fracture has very typical clinical signs and no further investigation
is usually needed. Early surgical treatment is associated with a low incidence of late complications.
Key word : Penis, Trauma, Corpus Cavernosum, Tunica Albuginea Rupture
VIRA VISESHSINDH, M.D.*,
VERAS lNG MUANGMAN, M.D.*
Objective : Penile fracture is a rare injury, usually resulting from direct trauma to the erect
penis during sexual intercourse. Immediate surgical treatment is the basis for the treatment of this
injury due to the high rate of complications associated with delayed management. The aim of this
study was to evaluate the clinical presentations, diagnostic methods, and outcomes of the treatment.
Material and Method : We retrospectively studied patients with penile fracture treated at
Ramathibodi Hospital from 1975 to 2000. Clinical presentation, diagnostic methods, technique of
treatment and outcomes of treatment were noted.
Results : Twelve patients were found in this study. The mean patient age was 32 years
old (range 19-42). The interval from time of injury to presentation was 3-48 hours. Of these patients
10 had been injured during sexual intercourse (83%) while 2 had been injured during masturbation.
All patients presented with a very suggestive clinical picture (pain, detumescence and hematoma).
No further investigation was needed for confirming the diagnosis. One case had urethral bleeding,
therefore, retrograde urethrogahpy was performed but no extravasation of contrast media was noted.
All patients were treated by immediate surgery, through a circular subcoronal incision and deglov-
ing of the penis to allow a thorough exploration. All of the patients had a tunica albuginea tear
that was promptly repaired. No associated urethral larceration was noted. All of the patients did very
well after surgery and two had mild curvature, which had not hindered intercourse at follow-up
(mean time of 24 months).
Conclusions : Penile fracture has very typical clinical signs and no further investigation
is usually needed. Early surgical treatment is associated with a low incidence of late complications.
Key word : Penis, Trauma, Corpus Cavernosum, Tunica Albuginea Rupture
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