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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Outcomes of Surgical Intervention in Penile Fracture in Terms of Sexual Function and Anatomical Deformity: A Case Series

Md Arif Islam, Shashi Kant Tewary, Sudipto Kumar Singh, Anik Ghosh, Kunjan Kumar and Ranjan Kumar Dey
Page: 561-564 | Received 03 Jul 2023, Published online: 16 Jul 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.561.564

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Abstract

Penile fracture is a relatively rare urological emergency, which requires immediate surgical intervention. It may have a devastating long standing functional, sexual and psychological effect on patients. The purpose of this study were to follow up patients to assess the outcomes and complications after emergency surgical repair of penile fractures. Special importance was given to assess erectile dysfunction or any anatomical defect using IIIEF‐5 Scoring system and with USG and color doppler studies (PSV, EDV and RI) after surgical repair of fracture penis. The aim of this study was to observe the outcome in terms of sexual function and anatomical deformity in cases of penile fracture following surgical intervention in our institution. This is a prospective observational study of 23 patients presenting in trauma care unit of R. G. Kar Medical College, Kolkata with clinical diagnosis of fracture penis and undergoing surgical repair in between January 2020 to July 2021. Patients with penile fracture who refused surgery were excluded from the study. Each patient has undergone systematic follow up after discharge with thorough clinical examination, evaluation for sexual function and assessment of any anatomical deformity. Assessment of sexual function was carried out at 12 months follow up. Mean IIEF‐5 score of all the patients was 22. Two patient (8.7%) developed moderate to severe erectile dysfunction with IIEF‐5 score 10 and 7 who had marked delayed presentation at 74 and 88 hrs, respectively. Both of them showed cavernously insufficiency in colour Doppler ultrasound study. Out of 23 patients 1 patients (4.3%) developed penile curvature who also had delayed presentation at 52 hrs. Pain full intercourse was complained by 4 patients (17.4%). To evict long term complications especially erectile dysfunction immediate surgical repair is highly advisable. Painful intercourse is the most common long term complication following surgical management of penile fracture. Delay in presentation carries a potential risk for development of long term complications.

How to cite this article:

Md Arif Islam, Shashi Kant Tewary, Sudipto Kumar Singh, Anik Ghosh, Kunjan Kumar and Ranjan Kumar Dey. Outcomes of Surgical Intervention in Penile Fracture in Terms of Sexual Function and Anatomical Deformity: A Case Series.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.561.564
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.561.564