Delayed surgical repair of penile fracture under local anesthesia.

INTRODUCTION: Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis.

AIM: To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours.

METHODS: Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out.

MAIN OUTCOME MEASURES: A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination.

RESULTS: All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up.

CONCLUSION: Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.