Assessment of Associated Factors and Surgical Outcome of Penial fractures among indoor Patients in a Tertiary Care Hospital

Objective: The objective of this study was to assess the frequency of associated factors and surgical outcome of Penial fracture injuries. Material and Methodology: Cross sectional descriptive study was conducted for 02 years at Urology and Renal Transplant Department Bahawal Victoria Hospital Quaid-e-Azam Medical College Bahawalpur, taking 13 patients by nonprobability convenience sampling technique. Routine investigations and anesthesia fitness was carried out before surgical intervention after informed consent to all of them. Subcoronal circumferential incision was made to identify tear in tunica which was repaired with proline 4/0. Hematoma was flushed with normal saline and skin was stitched with chromic Catgut after homeostasis. Foleys catheter was retained for 72 hours and antiandrogens prescribed to prevent erection. All patients were advised to abstain from sexual intercourse and subsequent follow ups were carried out at 10 days, one, three, six and twelve months. The data was collected with help of predesigned performa and analysis done by SPSS-16 software where applicable. Results: The long term results of surgery in terms of function were excellent. It was seen that at follow up of 6 months 61.53% patients had good normal erection with normal sexual activity. After 12 months 76.91% patients had good erection with normal sexual activity. Conclusion: The Study revealed hypothesis that early surgical intervention is good strategy for physiological intercourse rehabilitation among penial fracture cases.