شكستگي آلت تناسلي در مردان مراجعه كننده به بيمارستان شهيد بهشتي بابل ، سال 83-1375

Report of 84 cases of penile Fracture in Beheshti Hospital center

Background and purpose : Penile fracture is the rupture of the corpus cavernousum due to trauma to the erect penis , which has various background etiologies in different countries according to their habits. The aim of this study was to determine and evaluate the frequency, etiologies and complications of penile fracture in our geographic area. Material and Methods : This analytical-cross sectional study was performed via census sampling among men referred to Sh. Beheshti Hospital of Babol Medical University during 1995 to 2004. Data were analyzed by Chi-Square, Fisherʹs exact and T-test using SPSS release 12. Results : 84 patients with penile fracture (mean age of 18.1 years) were studied. The frequency was higher in single patients (78%) than married ones. The most important complaint of patients with penile fracture was penile pain (36%), hematoma (30%), and penile swelling (12%). Background factors were manipulation of erect penis (74%), sexual intercourse (18%) trauma to erect pennies {8%). Urethral ruptures were seen in 8% of all patients with feacture. There were significant differences between urethral rupture and background etiologies (P-0.000) and marrital status (p=0.000) as 90% of the cases were single patient, referred to hospital due to manipulation of erect pennies (P=0.000). Conclusion : High frequency of penile manipulation among young boys in the study area in comparison with other studies results in penile fracture but subsequent urethral rupture was uncommon among men. Better and earlier diagnosis of penile fracture is related to determination of background etologies in the patients.