ijas
International Journal Of Advances In Surgery

ISSN (O) : 2663 - 046X

A CrossRef Indexed Journal

DOI : 10.34300/26630451

ISSN (P) : 2663 - 0451

IC VALUE : 85.26(2021)

Volume : VII, Issue : IV, July - 2023


Original Research Paper

Outcomes Of Surgical Intervention In Penile Fracture In Terms Of Sexual Function And Anatomical Deformity - A Case Series

Islam Md. Arif, Tewary Shashi Kant, Singh Sudipto Kumar, Kumar Kunjan, Ghosh Anik, Dey Ranjan Kumar

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.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 September 2020 to April 2022.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 hours respectively.Both of them showed cavernosal insufficiency in colour doppler ultrasound study.Out of 23 patients 1 patients (4.3%) developed penile curvature who also had delayed presentation at 52 hours.Painfull intercourse was complained by 4 patients (17.4%).To evict long term complications specially erectile dysfunction immidiate 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. ]

Keywords :

Penile fracture,sexuality,erectile dysfunction,traumatology


Cite This Article:

OUTCOMES OF SURGICAL INTERVENTION IN PENILE FRACTURE IN TERMS OF SEXUAL FUNCTION AND ANATOMICAL DEFORMITY � A CASE SERIES, Islam Md. Arif, Tewary Shashi Kant, Singh Sudipto Kumar, Kumar Kunjan, Ghosh Anik, Dey Ranjan Kumar, INTERNATIONAL JOURNAL OF ADVANCED MEDICINE : Volume-7 | Issue-4 | July-2023

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