ABSTRACT Introduction: Penile fracture is an uncommon urological emergency, commonly managed with early surgical repair. However, the functional outcomes after the emergency repair are seldom reported. We analyzed the sexual outcomes of patients following surgical repair of penile fracture at our center. Materials and Methods: An ambispective study of patients who underwent penile fracture surgery between January 2022 and March 2023 was undertaken, assessing collected data on various preoperative and intraoperative factors. Follow-up data were analyzed for several outcomes, including the International Index of Erectile Function-5 Item Score (IIEF-5), Erection Hardness Score (EHS), fear of sexual activity, penile curvature, and palpable nodule. Results: Thirty-two patients of penile fracture, with a mean age of 36.1 years were assessed. The average follow-up period was 7.6 months, during which 24 patients achieved an EHS of 3, while the rest attained a score of 4. Nineteen patients (65.6%) reported experiencing fear during sexual activity, with three completely refraining from resuming sexual activity. IIEF-5 assessment revealed varying degrees of dysfunction in 18 (62%) patients, while the subscore assessment showed decent erectile function (20.69 ± 8.06) and desire (7.81 ± 1.38) with suboptimal scores in the other domains. Four patients (12.5%) reported postoperative penile curvature, while two perceived a penile nodule. Conclusion: Despite a successful surgical penile fracture repair manifested by a good erectile hardness scale, approximately 65% patients manifested with varying degrees of sexual dysfunction. Dedicated psychological assessment, counseling, and pharmacological management yielded favorable outcomes. Larger prospective studies are needed to validate our findings.
Shah et al. (Thu,) studied this question.