Sexual outcomes after fracture of the penis
Kayal, A1; Mandal, TK1; Majhi, TK1
1: nrs medical college kolkata, India
Introduction: Fracture of the penis is a rare urological emergency which occurs as a result of abrupt trauma to an erect penis. There is paucity of data regarding sexual function or erectile potency following fracture of the penis. The aim of this study is to objectively assess the overall sexual function following fracture of the penis.
Methods: A retrospective analysis of 24 penile fractures was performed. Sexual presurgical baseline was estimated using the International Index of Erectile Dysfunction 15 (IIEF-15). Sexual outcomes of each patient were estimated considering four standardized and validated questionnaires. We analyzed the means and ranges of IIEF-15 including erectile function (IIEF-1-5 and -15), orgasmic function (IIEF-9 and -10), sexual desire (IIEF-11 and -12), intercourse satisfaction (IIEF-6-8), and overall satisfaction (IIEF-13 and -14). Then, we also used Quality of Erection Questionnaire (QEQ), Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) to evaluate the sexual function and satisfaction of our patients.
Results: The mean age was 35 years (range: 19–58). The median follow up was 12 months (range: 6–24). All fractures were a result of sexual misadventure and all were surgically repaired. There were two concomitant urethral injuries. Fifteen patients demonstrated no evidence of erectile dysfunction (ED) (IIEF-5>22), 6 patients reported symptoms of mild ED (IIEF-5, 17–21) and 4 patients reported mild to moderate ED (IIEF-5, 12–16). No patients reported insufficient erection for penetration (EHGS: 1 or 2). Quality of Erection Questionnaire (QEQ), Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) also supports same.
Conclusion: In a small surgical series of men with penile fracture managed within a short time frame from presentation, we demonstrate erectile potency is maintained.
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