Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Effects of penile fracture and its surgical treatment on psychosocial and sexual function

Abstract

The current therapy for penile fracture is immediate surgical repair, but sexual and psychosocial effects of the repair have been poorly investigated. We aimed to assess the impact of surgical correction of penile fracture on psychosocial status, sexual function, and erectile quality. Sixty-four patients classified into two subgroups according to follow-up: 2–24 months (Group 1), and longer than 24 months (Group 2), and 28 healthy men (Control group). The mean overall follow-up period was 39.1±32.7 months. The number of sexual intercourse origin was 44 (68.8%), the mean time interval from incident-to-surgery was 13.6±9.3 h. The mean sexual relationship score decreased during first year (P=0.001), and significant recovery was observed over 12–24 months. The mean overall relationship scores and the mean self-esteem scores of the study groups decreased until the end of the 24 months (P<0.05). The mean erectile function domains remained stable in all groups (P>0.05). The mean EHS scores were lower but the difference was not significant in the study groups (P>0.05). Penile fracture repair have no detrimental effect on sexual function, but psychogenic aspect may be adversely affected. This article concludes lower complication rates can be reached with immediate surgical correction of the penile fracture whereas psychogenic recovery might prolonged.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Koifman L, Barros R, Júnior RA, Cavalcanti AG, Favorito LA . Penile fracture: diagnosis, treatment and outcomes of 150 patients. Urology 2010; 76: 1488–1492.

    Article  Google Scholar 

  2. Jack GS, Garraway I, Reznichek R, Rajfer J . Current treatment options for penile fractures. Rev Urol 2004; 6: 114–120.

    PubMed  PubMed Central  Google Scholar 

  3. Morey AF, Zhao LC . Genital and lower urinary tract trauma. In: Campbell-Walsh Urology, 11th edn. Elsevier-Saunders, Co.: Philadelphia, PA, USA, 2016.

    Google Scholar 

  4. Muentener M, Suter S, Hauri D, Sulser T . Long-term experience with surgical and conservative treatment of penile fracture. J Urol 2004; 172: 576–579.

    Article  Google Scholar 

  5. Acikgoz A, Gokce E, Asci R, Buyukalpelli R, Yilmaz AF, Sarikaya S . Relationship between penile fracture and Peyronie's disease: a prospective study. Int J Impot Res 2011; 23: 165–172.

    Article  CAS  Google Scholar 

  6. Perovic SV . Penile Fracture Associated with Urethral injury and Its Complex Repair. Chapter. Emergencies in Urology. pp 564–565.

  7. Zachalski W, Krajka K, Matuszewski M . Evaluation of the treatment of congenital penile curvature including psychosexual assessment. J Sex Med 2015; 12: 1828–1835.

    Article  Google Scholar 

  8. Tal R, Nabulsi O, Nelson CJ, Mulhall JP . The psychosocial impact of penile reconstructive surgery for congenital penile deviation. J Sex Med 2010; 7: 121–128.

    Article  Google Scholar 

  9. Davis S, Ferrar S, Sadikaj G, Binik Y, Carrier S . Shame, catastrophizing, and negative partner responses are associated with lower sexual and relationship satisfaction and more negative affect in men with Peyronie's disease. J Sex Marital Ther 2016; 43: 264–276.

    Article  Google Scholar 

  10. Levine LA . The clinical and psychosocial impact of Peyronie's disease. Am J Manag Care 2013; 19: 55–61.

    Google Scholar 

  11. Gentile G, Franceschelli A, Massenio P, Tuccio A, Cocci A, Divenuto L et al. Patient's satisfaction after 2-piece inflatable penile prosthesis implantation: an Italian multicentric study. Arch Ital Urol Androl 2016; 88: 1–3.

    Article  Google Scholar 

  12. Otero JR, Cruz CR, Gómez BG, Geli JS, Polo JM, Castañé ER et al. Comparison of the patient and partner satisfaction with 700CX and Titan penile prostheses. Asian J Androl 2016; 19: 321–325.

    Article  Google Scholar 

  13. Carvalheira A, Santana R, Pereira NM . Why are men satisfied or dissatisfied with penile implants? A mixed method study on satisfaction with penile prosthesis implantation. J Sex Med 2015; 12: 2474–2480.

    Article  Google Scholar 

  14. Pryor MB, Carrion R, Wang R, Henry G . Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis. Asian J Androl 2015; 18: 754–758.

    Article  Google Scholar 

  15. Pisano F, Falcone M, Abbona A, Oderda M, Soria F, Peraldo F et al. The importance of psychosexual counselling in the re-establishment of organic and erotic functions after penile prosthesis implantation. Int J Impot Res 2015; 27: 197–200.

    Article  CAS  Google Scholar 

  16. Cappelleri JC, Althof SE, Siegel RL, Shpilsky A, Bell SS, Duttagupta S . Development and validationof the Self-Esteem And Relationship (SEAR) questionnaire in erectile dysfunction. Int J Impot Res 2004; 16: 30–38.

    Article  CAS  Google Scholar 

  17. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkptrick J, Mishra A . The International Index of Erectile Function (IIEF): a multidimentional Scale for Assessment of Erectile Dysfunction. Urology 1997; 49: 822–830.

    Article  CAS  Google Scholar 

  18. Mulhall JP, Goldstein I, Bushmakin AG, Cappelleri JC, Hvidsten K . Validation of the Erection Hardness Score. J Sex Med 2007; 4: 1626–1634.

    Article  Google Scholar 

  19. Zargooshi J . Sexual function and tunica albuginea wound healing following penile fracture: an 18-year Follow-Up Study of 352 Patients from Kermanshah,Iran. J Sex Med 2009; 6: 1141–1150.

    Article  Google Scholar 

  20. Zargooshi J . Penile Fracture in Kermanshah, Iran: Report of 172 Cases. J Urol 2000; 164: 364–366.

    Article  CAS  Google Scholar 

  21. Osama KZ, Shaeer KZM . The Textbook of Erectile Dysfunction. Second Edition. Carson III CC, Kirby RS, Goldstein I, Wyllie MG. Informa Healthcare USA, Inc. 52 Vannerbilt Avenue New York, NY, 10017, pp 183.

  22. Asgari MA, Hosseini SY, Safarinejad MR, Samadzadeh B, Bardideh AR . Penile fractures: evaluation, theurapotic approaches and long term results. J Urol 1996; 155: 148–149.

    Article  CAS  Google Scholar 

  23. Bhoil R, Sood D . Signs, symptoms and treatment of penile fracture. Emerg Nurse 2015; 23: 16–17.

    Article  Google Scholar 

  24. Morey AF, Dugi DD 3rd . Genital and lower urinary tract trauma. In: Wein AJ, Kavoussi LR, Partin AW, Novick AC eds. Campbell-Walsh urology 10th ed. Elsevier-Saunders, Co: Philadelphia, PA, USA, 2012; 2507–2520.

    Book  Google Scholar 

  25. McDougal WS . Methods of care and special considerations of perineal genital wounds. In: Reconstructive Urologic Surgery 3rd ed. Libertino JA (eds). Mosby: St. Louis, MA, USA, 69 1998 pp 653–660.

    Google Scholar 

  26. Boncher NA, Vricella GJ, Jankowski JT, Ponsky LE, Cherullo EE . Penile Fracture with Associated Urethral Rupture. Case Reports in Medicine. 2010; Article ID 791948, 3 pages doi:10.1155/2010/791948.

    Article  Google Scholar 

  27. Liu S, Romano M, Phillips EA, Munarriz R . Boston University School of Medicine, USA; Boston Medical Center, USA. EPIDEMIOLOGY OF PENILE FRACTURES IN THE EMERGENCY SETTING. Proceedings of the 21st Annual Fall Scientific Meeting of SMSNA, Las Vegas, Nevada, USA, 2015; November 19-22.

  28. Mahapatra RS, Kundu AK, Pal DK . Penile fracture: our experience in a Tertiary Care Hospital. World J Mens Health 2015; 33: 95–102.

    Article  Google Scholar 

  29. McMahon CG . Erectile dysfunction. Intern Med J 2014; 44: 18–26.

    Article  CAS  Google Scholar 

  30. Muqim R, Jan QA, Zarin M . Pak J Med Sci 2006; 22: 123–127.

    Google Scholar 

  31. Penbegul N, Bez Y, Atar M, Bozkurt Y, Sancaktutar AA, Soylemez H et al. No evidence of depression, anxiety, and sexual dysfunction following penile fracture. Int J Imp Res 2012; 24: 26–30.

    Article  CAS  Google Scholar 

  32. Pavan N, Tezzot G, Liguori G, Napoli R, Umari P, Rizzo M et al. Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome. Arch Ital Urol Androl 2014; 86: 359–370.

    Article  Google Scholar 

  33. Amer T, Wilson R, Chlosta P, AlBuheissi S, Qazi H, Fraser M et al. Penile Fracture: A Meta-Analysis. Urol Int 2016; 96: 315–329.

    Article  Google Scholar 

  34. Gamal WM, Osman MM, Hammady A, Aldahshoury MZ, Hussein MM, Saleem M . Penile fracture: Long-term results of surgical and conservative management. J Trauma 2011; 71: 491–493.

    Article  Google Scholar 

  35. El-Assmy A, El-Tholoth HS, Mohsen T, Ibrahiem el HI . Long-term outcome of surgical treatment of penile fracture complicated by urethral injury. J Sex Med 2010; 7: 3784–3788.

    Article  Google Scholar 

  36. Ibrahiem el-HI, el-Tholoth HS, Mohsen T, Hekal IA, el-Assmy A . Penile fracture: long-term outcome of immediate surgical intervention. Urology 2010; 75: 108–111.

    Article  Google Scholar 

  37. Shetty M, Nerli RB, Kamat S, Sadalge A, Patil VK . Penile fractures: Results of delayed repair. Ind J Urol 2004; 20: 123–125.

    Google Scholar 

  38. Zargooshi J . Penile fracture in Kermanshah, Iran: the long-term results of surgical treatment. BJU Int 2002; 89: 890–894.

    Article  Google Scholar 

  39. Nelson CJ, Diblasio C, Kendirci M, Hellstrom W, Guhring P, Mulhall JP . The chronology of depression and distress in men with Peyronie’s disease. J Sex Med 2008; 5: 1985–1990.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Dr Necmettin Sahinkaya for his valuable contribution on this project and Dr Leman Tomak, for her assistance with the statistics used in this report.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M S Bolat.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bolat, M., Özen, M., Önem, K. et al. Effects of penile fracture and its surgical treatment on psychosocial and sexual function. Int J Impot Res 29, 244–249 (2017). https://doi.org/10.1038/ijir.2017.31

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijir.2017.31

This article is cited by

Search

Quick links