ArticleInternational braz j urol : official journal of the Brazilian Society of Urology
Lessons learned after 20 years' experience with penile fracture.
Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What is the most dangerous sexual position that caused the penile fracture? A systematic review and meta-analysis.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Risk factors for erectile dysfunction after penile fracture and surgical repair: 12 years of clinical experience.Asian journal of andrology · 2025Article
- Article
- Factors affecting complications and outcomes in penile fractures: a decade of surgical experience from a single center.Sexual medicine · 2025Article
- Impact of the timing of surgery on the recovery of sexual functions after fracture penis.Medical journal, Armed Forces India · 2024Article
- Comparison of erectile and ejaculatory functional outcomes between unilateral and bilateral cavernosal rupture in penile fractures.International journal of impotence research · 2024Article
- Role of penile rehabilitation through daily intake of 5 mg tadalafil on erectile dysfunction after different presentations of penile fracture: a prospective case-control study.International urology and nephrology · 2023Article
- Immediately repaired penile fractures: age is the only predictor of postoperative long-term functional outcomes.Sexual medicine · 2023Article
- Penile fracture following sexual intercourse; A case report and literature review.International journal of surgery case reports · 2023Article
- First Two Cases of Conservative Treatment for Extreme Proximal Penile Fracture of the Corpora Cavernosa.Case reports in urology · 2023Article
- Diagnostic performance of MRI and US in suspicion of penile fracture.Translational andrology and urology · 2022Article
- Atypical presentation of a vertical penile fracture.BMJ case reports · 2021Article
- Self-Induced Trauma to the Genitalia: a Review of the Literature and Management Schemes.Current urology reports · 2021Review
- The Management of Penile Fracture: a Review of the Literature with Special Consideration for Patients Undergoing Collagenase Clostridium Histolyticum Injection Therapy.Current urology reports · 2021Review
- Sexual Dysfunction Among Men Who Have Sex with Men: a Review Article.Current urology reports · 2021Review
- Editorial Comment: Lessons learned after 20 years' experience with penile fracture.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Editorial comment: Findings regarding non-sexual penile fracture in a referral emergency hospital.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Double penile fracture without urethral injury presenting after 7 days.Annals of African medicineArticle
- Article
- Penile Trauma Burden and Aetiology in the Paediatric and Adult Population: A Scoping Review and Critical Analysis of the Literature.Journal of the West African College of SurgeonsArticle
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report our experience over the past 20 years in the diagnosis and surgical treatment of penile fracture (PF). MATERIALS AND
methodsBetween January 1997 and January 2017, patients with clinical diagnosis of PF were admitted to our facility and retrospectively assessed. Medical records were reviewed for clinical presentation, etiology and operative findings. Postoperative complications, sexual and urinary function were evaluated.
resultsSexual trauma was the main etiological factor, responsible for 255 cases (88.5%): 110 (43.1%) occurred with the "doggy style" position, 103 (40.3%) with "man on top" position, 31 (12.1%) with the "woman on top" position and 11 (4.3%) in other sexual positions. The most common findings in the clinical presentation were hematoma, in all cases and detumescence in 238 (82.6%). Unilateral corpus cavernosum injuries were found in 199 (69%) patients and bilateral in 89 (31%) patients. Urethral injuries were observed in 54 (18.7%) cases. Nine (14.7%) patients developed erectile dysfunction and eight (13.1%) had penile curvature. Only two (3.7%) patients had complications after urethral reconstruction.
conclusionsPF has typical clinical presentation and no need for additional tests in most cases. Hematoma and immediate penile detumescence are the most common clinical findings. Sexual activity was the most common cause. The 'doggy style' and 'man-on-top' was the most common positions and generally associated with more severe lesions. Concomitant urethral injury should be considered in cases of high-energy trauma. Surgical reconstruction produces satisfactory results, however, it can lead to complications, such as erectile dysfunction and penile curvature.
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