Long Term Outcome of Patients with Penile Fracture Undergoing Delayed Repair

Introduction: Fracture of the penis is a rare urological emergency which occurs as a result of abrupt trauma to an erect penis. Immediate surgical repair is the standard of care and is superior to nonoperative management due to excellent long term outcomes. A large percentage of the patients present late for treatment out of fear or embarrassment. We report our series of patients who presented&nbsp;&nbsp; late and underwent delayed repair. We also report the long term outcome in these patients.Materials &amp; Methods: The data was retrospectively collected from hospital records, which included: detailed history, symptoms, type of relationship, mechanism of trauma, sexual position, clinical fi ndings at physical examination, imaging results, presence of urethral injury, outcomes, and long-term complications regarding sexual and voiding functions.Results: Twenty two patients presented to our hospital casualty/emergency services following penile fracture and underwent delayed surgical repair. Heterosexual inter- course was the most common cause&nbsp; of fracture (18 patients, 81.81%). The mean time duration between injury and presentation was 48.77±33.56 hours. The mean time duration between presentation and surgical intervention was&nbsp; 4.31±1.37 hours. MRI was done in 6 cases with positive predictive value of 100%. Seventeen (77.27%)&nbsp; patients experienced erections during the post-operative period in the hospital. At the end of 1 year&nbsp; follow-up all the 22 patients had been having sexual intercourse. Conclusions: Our data suggests that, patients with penile fractures undergoing delayed repair have preservation of erectile potency and overall&nbsp; sexual function is maintained.</p