Penile fracture: Our experience in a tertiary care hospital in northern India: A prospective study

Abstract

Objective: Penile fracture is a urological emergency. We conducted this study to analyze the clinicoetiological profile and management aspects of penile fracture at our tertiary hospital. Materials and methods: This prospective study was conducted over a period of 3 years in the unit two of department of surgery in SMHS (Shri Maharaja Hari Singh) hospital at Government Medical College, Srinagar, Jammu & Kashmir, India from September 2014 to August 2017. Results: In this study, conducted over a period of 3 years, 36 patients were included with a diagnosis of penile fracture. One patient had recurrent penile fracture. All of the patients were diagnosed with clinical evaluation and were subjected to ultrasonography for further supporting the diagnosis and locating the site of rent. The age varied from 24 to 59 years with mean age of 42.1 years. Being a Muslim dominated region, all patients were Muslims and 20 patients were properly practicing Muslims. Investigation of the injury mechanism identified sexual trauma as the main etiological factor. Surgical management was done in 34 patients and two were managed conservatively. Conclusion: Penile fracture diagnosis and mode of trauma can be easily reached by proper history and clinical examination, after taking the patient into confidence. Surgical treatment seems to be the best approach of management. Proper advice should be given to the patients to discourage the practices notorious for recurrent penile fractures.