Is there erectile dysfunction after surgical management of penile fracture? Evaluation of penile function and sexual satisfaction
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v79i5.497Keywords:
Penile fracture, Erectile dysfuctionAbstract
Background: Penile fracture is a urologic emergency and is defined as the rupture of the tunica albuginea of the cavernous body in erection, with or without urethral involvement. The aim of the present study was to describe the preservation of erectile function in patients with a history of penile fracture managed through surgical repair.
Methods: An observational, descriptive, analytic, and retrospective study was conducted on 32 patients diagnosed with penile fracture that were seen at the Urology Department of the Hospital General de Mexico, within the time frame of 2005 to 2019. The following variables were retrieved from their clinical records and analyzed: age at the time of fracture, sexual preference, marital status, mechanism of trauma, anatomic condition, medical-surgical care time, recovery time, penile curvature, erectile dysfunction (IIEF-5), fibrosis or urethral stricture as post-trauma complications, and follow-up duration.
Results: Intercourse was the mechanism of injury in 24 (75%) patients and sexual behavior was promiscuous in 16 (50%) patients. Regarding sexual preference, 31 cases were registered as heterosexual (97%) and the most frequent sexual position associated with penile fracture was "partner on top" in 12 patients (38%). Surgery duration was 720 minutes (12 hours) in 6 (19%) patients. On average, intercourse was resumed two months ± 1.3 months after the trauma. Currently, most of the patients have not presented with erectile dysfunction 19 (60%).
Conclusion: The majority of patients that receive timely surgical care upon diagnosis (before 35 hours have passed) have better prognosis and a favorable outcome in terms of erectile function, preventing fracture sequelae.
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