Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions
Penile fracture is a relatively uncommon clinical condition that frequently causes fear and embarrassment for the patient, hypothetically resulting in delayed search for medical assistance, which can lead to an impairment of sexual and voiding functions [1]. Its incidence and etiologies vary according to geographic region, sexual behavior, marital status, and culture.
Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercourse was the most common cause (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). “Woman on top” was the most common heterosexual position (, 50%), followed by “doggy style” (, 28.6%). Four patients (9.5%) maintained the cause unclear. Six (14.3%) patients had urethral injury and two (4.8%) had erectile dysfunction, treated by penile prosthesis and PDE-5i. No patient showed urethral fistula, voiding deterioration, penile nodule/curve or pain. Conclusions. “Woman on top” was the potentially riskiest sexual position (50%). Immediate surgical treatment warrants long-term very low morbidity.
