From the Guidelines
Penile fracture requires prompt surgical exploration and repair to improve long-term patient outcomes. The treatment involves exposing the injured corpus cavernosum through either a ventral midline or circumcision incision, and tunical repair is performed with absorbable suture 1. This procedure should be performed at the time of presentation to minimize complications and improve patient outcomes.
Key Points to Consider
- Surgical repair is the recommended treatment for penile fracture, as it reduces the risk of long-term complications such as erectile dysfunction, penile curvature, or painful erections.
- The repair is typically performed under general anesthesia and involves evacuating any blood clots and repairing the torn tunica albuginea with absorbable sutures.
- Patients should avoid sexual activity for 6-8 weeks to allow complete healing and may receive pain medication and antibiotics to prevent infection.
- Early surgical intervention is crucial, as it results in better outcomes with lower rates of complications 1.
Important Considerations
- Penile fracture is a medical emergency that requires immediate attention, and patients should seek emergency care if they suspect a fracture.
- Conservative management without surgery is generally not recommended, as it can lead to complications and poor outcomes.
- The goal of treatment is to restore normal penile function and minimize the risk of long-term complications, and prompt surgical repair is the most effective way to achieve this goal 1.