{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:22:39Z","timestamp":1792102959538,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:00:00Z","timestamp":1694304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Surgical exploration and closure of the tunica albuginea is the recommended treatment for penile fractures. The recovery of sexual function is the main result that surgeons and patients pursue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to evaluate the sexual health effects of a surgically corrected penile fracture. Secondarily, we sought to identify risk factors that may influence long\u2010term sexual function and their effects on genital body image satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of patients who underwent surgical correction of penile fractures between 2007 and 2022 in a tertiary center was performed. Lesion characteristics, weeks until the resumption of sexual activity, and post\u2010operative sexual function were recorded. The presence of glans hypoesthesia, penile deformation, penile nodule palpation, and self\u2010satisfaction with body image were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010nine patients with a mean age of 42.30\u00a0\u00b1\u00a012.98 years and a median follow\u2010up of 70 (20\u2013134) months were identified. Sexual intercourse was recorded as a percentage. Penile deformation was the most common complication, appearing in 14.5% of patients, erectile dysfunction in 5.8%, penile nodules in 4.3%, and glans hypoesthesia in 2.9%. The median post\u2010operative International Index of Erectile Function\u20105 was 24 (21.5\u201324). Self\u2010satisfaction with body image had a median of 9 and was negatively associated with bilateral lesions and penile deformation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and conclusion<\/jats:title><jats:p>Distal fractures could be linked to erectile dysfunction and glans hypoesthesia. Surgical correction of penile fractures shows positive functional and self\u2010reported outcomes, and the potential andrological complications rarely necessitate specific treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/andr.13528","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T05:30:47Z","timestamp":1694410247000},"page":"835-840","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Complications after surgical correction of penile fractures\u2014Is there a clinical impact?"],"prefix":"10.1111","volume":"12","author":[{"given":"Alberto","family":"Costa Silva","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Urologia Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o  Porto Portugal"},{"name":"Faculdade de Medicina da Universidade do Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasco","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Urologia Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o  Porto Portugal"},{"name":"Faculdade de Medicina da Universidade do Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Martins Silva","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Urologia Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o  Porto Portugal"},{"name":"Faculdade de Medicina da Universidade do Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afonso","family":"Morgado","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Urologia Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o  Porto Portugal"},{"name":"Faculdade de Medicina da Universidade do Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2017.07.009"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2011.02461.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000444884"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464\u2010410X.2003.t01\u20101\u201004066.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.07.028"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010019\u20100212\u20101"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.4032"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/21681805.2017.1280532"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0987\u20107053(97)89869\u20103"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2008.00796.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900472"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1698\u2010031X(11)70002\u20104"},{"key":"e_1_2_10_14_1","article-title":"Zur kausuistik der fractura penis","author":"Malis J","year":"1924","journal-title":"Arch Klin Chir"},{"key":"e_1_2_10_15_1","first-page":"211","article-title":"Rupture of the penis. report of one operated case and review of literature","volume":"113","author":"Fernstrom U","year":"1957","journal-title":"Acta Chir Scand"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau\u201021\u2010957"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000211"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2007.00769.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2021.100353"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/768158"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2020.20311"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u2010410X.2009.08455.x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdac032"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-12049-7_6"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.5534\/WJMH.190092"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2008.01117.x"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15219"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2016.02.012"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2011.24"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2008.00883.x"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2017.31"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2016.05.14"},{"key":"e_1_2_10_33_1","unstructured":"RussoGI.ManAgement of pRiapiSm and its Impact on Outcomes (MARS). 2021. Accessed July 17 2023.https:\/\/classic.clinicaltrials.gov\/ct2\/show\/NCT04932902"}],"container-title":["Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/andr.13528","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T10:12:45Z","timestamp":1712830365000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/andr.13528"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,10]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/andr.13528"],"URL":"https:\/\/doi.org\/10.1111\/andr.13528","archive":["Portico"],"relation":{},"ISSN":["2047-2919","2047-2927"],"issn-type":[{"value":"2047-2919","type":"print"},{"value":"2047-2927","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,10]]},"assertion":[{"value":"2023-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}