Penile Fracture: Diagnosis and Management of 13 Cases at Zinder National Hospital (Hnz)

Author(s): Halidou M, Kodo A, Magagi A, Zakou ARH, Roua M

Objective: The objective of this study was to report our experience of the management of penile fracture at the Zinder National Hospital (NIGER). Patients and methods: This is a retrospective, descriptive study of 13 cases of penile fracture treated in the urology department of Zinder National Hospital between February 2014 and June 2021. The parameters studied were patient age, circumstances of occurrence, marital status, clinical signs, treatment, and outcome. Results: The average age of our patients was 33 years old with extremes of 19 years and 51 years, there were 12 married patients, 3 of whom were on their wedding night, and 1 was single. The circumstances of occurrence were coitus for all patients. The interrogation found the use of erectogenic drugs by the 12 married patients. The classic coitus misstep was found in 9 cases, the other 4 admitting that it was the woman above who ended up crushing the penis. All patients heard a crunch followed by sudden collapse of the erection, and pain before seeing penis deformity. The average time elapsed before management was 7 hours with extremes of 12 and 46 hours. Surgical treatment was suture of the tunica albuginea of the corpus cavernosum through a coronal incision 11 cases and an elective incision in 2 cases. The mean follow-up was 18 months (range 4-24 months) before being completely lost of view. Three complications were recorded including a curvature, an albuginea nodule interfering with sexual intercourse, and one case of erectile pain.