When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?

Abstract

Objective: To analyze the outcomes of the patients who underwent surgical treatment of penile fracture especially em- phasizing the effects of the time of surgery on erectile function of the patients. Material and Methods: Between 2007 and 2019, 31 pa- tients who were consulted with the complaints and suspicion of penile fracture to the Emergency Department of Pamukkale University Hos- pitals were evaluated retrospectively. Erectile functions both prior to the surgery and at postoperative 3rd month were evaluated. The pa- tients who had an International Index of Erectile Function-5 (IIEF-5) decrease in the follow-up before the procedure and the patients who received medical treatment and no change in IEFF were divided into two groups. Compatibility of variables to normal distribution was evaluated with the Kolmogorov Smirnov test. The results were ex- pressed in 95% confidence interval and p<0.05 was considered sta- tistically significant. Results: In the study conducted on the etiology of a decrease in IEFF and the need for treatment after surgery, it was found that the rate of application to the emergency room within the first 6 hours statistically decreased the rate significantly. In addition, it has been found that the surgical application in the first 12 hours de- creases both IEFF and the need for treatment in the IEFF. Conclu- sion: Penile fracture is a rare urological emergency. Erectile dysfunction which can be seen after penile fracture, is significantly re- duced with early application of penile fracture within 6 hours to the hospital and surgical repair within the first 12 hours.