Abstract :
Over a period of 3-years, we have conducted a retrospective study on 18-patients complaining of penile fracture and attending the emergency room at Dr. Fakhry Hospital. All patients were subjected to history taking, physical examination and local penile examination. Some laboratory investigations were requested, in addition to few specific tests in some cases. Our results showed that, the studied cases mean age was 35.76 years, they were grouped according to their body mass index (BMI) to GI (25,85), GII (28.25) GIII (34.42). Most cases had attended early 12 hours in different studied groups. Seventy percent of cases had proximal penile fracture, while 30% showed distal penile fracture mostly in GIII. Some cases of GIII had a bilateral lesion on examination. The mean duration of hospital stay correlated with the site, bilaterality, timing of attendance and severity of fracture. In Conclusion: We have found that, penile fracture is predisposed by some risk factors mainly BMI and age, in addition to metabolic disorders, timing of hospital attendance and severity of fracture. In most cases, fracture of penis can be easily diagnosed by proper history and physical examination as well, immediate surgical intervention is considered the best treatment to avoid serious complications and to preserve penile function. Also, prognosis is mainly dependent on early intervention and regular out-patient follow-up for at least 12- 16 weeks.
