From the Guidelines
The primary treatment for penile fracture is immediate surgical repair, as prompt surgical exploration and repair can improve long-term patient outcomes. Here's what you need to know:
- Seek emergency medical care immediately if you suspect a penile fracture, as delays in treatment can lead to increased morbidity and mortality, as well as decreased quality of life 1.
- Surgery involves making an incision to access the damaged area, draining any blood clots, and repairing the torn tunica albuginea with absorbable sutures, which can be done through either a ventral midline or circumcision incision 1.
- The procedure is typically done under general anesthesia and usually takes 1-2 hours, with patients generally staying in the hospital for 1-2 days for monitoring.
- Post-operative care includes:
- Abstaining from sexual activity for 4-6 weeks
- Taking prescribed antibiotics to prevent infection
- Using pain medication as needed
- Wearing loose-fitting underwear to support the penis
- Avoiding strenuous activities for several weeks
- Full recovery usually occurs within 4-6 weeks, but follow your doctor's specific instructions, as individual recovery times may vary. Prompt surgical intervention is crucial because it reduces the risk of complications such as erectile dysfunction, penile curvature, or urethral injury, and can improve long-term patient outcomes, as stated in the guideline statement 27 of the urotrauma: aua guideline 1.
From the Research
Treatment for Penile Fracture
The treatment for penile fracture, also known as traumatic rupture of the tunica albuginea, is primarily surgical intervention. The goal of surgery is to repair the damaged tissue and restore normal penile function.
Key Aspects of Treatment
- Surgical intervention: Immediate surgical repair is recommended to prevent long-term complications and promote optimal recovery 2, 3, 4, 5, 6.
- Timing of surgery: Early surgery, ideally within 48 hours of injury, is associated with better outcomes and reduced risk of complications 3, 4, 6.
- Surgical technique: The surgical approach typically involves exploration and repair of the tunica albuginea, with or without urethroplasty if the urethra is involved 2, 5.
- Postoperative care: Patients usually require antibiotics and analgesics, with follow-up to monitor for potential complications 2, 6.
Benefits of Early Surgical Intervention
- Preservation of penile function: Early surgery helps to preserve penile sensitivity and function 2, 4.
- Reduced risk of complications: Prompt surgical intervention minimizes the risk of long-term complications, such as erectile dysfunction, penile deviation, and scar formation 3, 6.
- Improved cosmetic outcomes: Early surgery can also lead to better cosmetic results, with reduced risk of palpable scarring 6.