ReviewCureus2025
Erectile Dysfunction Following Surgical Repair of Penile Fracture: A Literature Review of Incidence, Risk Factors, and Outcomes.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Comment on: Long-term outcomes and risk factors for erectile dysfunction and penile curvature after surgical penile fracture repair.International journal of impotence research · 2026Article
- Functional, Sexual and Psychosexual Outcomes After Penile Fracture Repair: A Scoping Review.Cureus · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Penile fracture is a rare urological emergency that can lead to significant complications, particularly erectile dysfunction (ED). This systematic review aimed to evaluate the incidence of ED following penile fracture and assess management strategies. A comprehensive literature search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across multiple databases, including PubMed, EMBASE, Cochrane, SCOPUS, and Web of Science from inception to 2024. Studies reporting on ED incidence after penile fracture and comparing different management approaches were included. Quality assessment was performed using the QUADAS-2 tool. Studies with variable or insufficient data were excluded. Twenty-four studies involving 3,213 patients were included. The overall incidence of ED after penile fracture ranged from 0% to 52.9%, with immediate surgical repair showing significantly lower rates (6.6-16.5%) compared to conservative management (45.5-52.9%). Meta-analysis revealed that immediate surgical intervention (within 24-48 hours) was associated with lower ED rates (OR: 0.36, 95% CI: 0.15-0.89, P = 0.03) compared to delayed repair. Risk factors for post-operative ED included age >50 years (RR: 1.65, 95% CI: 1.14-2.39), bilateral corporal involvement, and concomitant urethral injury. Immediate surgical repair of penile fracture is associated with lower rates of ED compared to conservative management or delayed intervention. Early recognition and prompt surgical management within 24-48 hours are crucial for optimal functional outcomes.
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Registered trials
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