DOI: https://doi.org/10.36347/sasjs.2025.v11i03.013

Pages: 319-325

Background: Penile fracture is a rare but significant urological emergency characterized by the rupture of the tunica albuginea of the corpus cavernosum, commonly occurring during sexual intercourse or forced manipulation of an erect penis. Prompt surgical intervention is critical to optimize outcomes and minimize complications such as erectile dysfunction and penile deformity. Aim of the study: To evaluate the clinical presentation, surgical outcomes, and postoperative complications in penile fracture management. Methods: This prospective observational study included 50 patients with penile fractures treated surgically within 24 hours of presentation between January 2015 and December 2019 in the Department of Surgery at 250 Bedded General hospital (temporary sheltering as Pabna Medical College Hospital), Pabna, Bangladesh. Patients underwent penile exploration, hematoma evacuation, and repair of the tunica albuginea, with urethral repair performed when required. Clinical, demographic, and surgical data were collected, and complications were assessed over six months of follow-up. Statistical analysis was performed using SPSS v26, with p-values ≤0.05 considered significant. Result: The mean age of the patients was 38.41±4.96 years, with 64% aged 31-45 years. Most injuries (84%) were related to sexual activity, and 76% of fractures occurred on the right side. Clinical presentations included penile crackling (100%), hematoma (92%), and penile curvature (60%). Surgical repairs were performed using coronal (80%) or selective incisions (20%), with an average operative time of 68.37±9.69 minutes. Postoperative complications were observed in 30% of patients, categorized as aesthetic (40%), functional (33.33%), or both (26.67%). Erectile dysfunction affected 60% of patients with functional complications. Shorter durations of sexual abstinence (<1 month) were significantly associated with higher complication rates (p<0.05). Conclusion: Timely surgical management of penile ...