{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T22:31:46Z","timestamp":1783031506514,"version":"3.54.6"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T00:00:00Z","timestamp":1555891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> Penile fracture is one of the urological emergencies caused by direct trauma to an erect penis during sexual intercourse, which results in a tear in the tunica albuginea within the corpus cavernosum. Serious complications such as penile curvature and erectile dysfunction may develop due to inappropriate and\/or late surgical repair. This study aims to evaluate patients with penile fracture and to describe their demographics, surgical repairs, and long-term outcomes. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p> A total of 56 patients who were diagnosed with penile fracture between January 2012 and June 2017 were reviewed. Clinical features, pre-operative assessment, time from injury to surgery, tunica defect properties, and presence of urethral injury were assessed. Early surgical management was performed. Outcomes, including International Index of Erectile Function 5 pre-operation and after 6\u2009months, were evaluated. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The mean age was 30.2 (18\u201357)\u2009years. In etiological questionnaires, 32 (57.2%) patients reported direct trauma to an erect penis during intercourse. The mean size of tunica defects was 1.61\u2009\u00b1\u20090.42 (0.3\u20133.6)\u2009cm of the nine (16%) patients, and penile fracture was associated with urethral injury. There was no significant difference in International Index of Erectile Function 5 scores before the surgery and 6\u2009months after surgery. Penile skin necrosis developed in one patient 10 days post-operation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Early surgical repair could be an effective method of achieving post-operative erection success in patients with penile fracture due to direct trauma during intercourse. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0391560319844657","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T04:58:37Z","timestamp":1555995517000},"page":"207-210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Penile fracture and investigation of early surgical repair effects on erectile dysfunction"],"prefix":"10.1177","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4024-5147","authenticated-orcid":false,"given":"Bulent","family":"Kati","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yigit","family":"Akin","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey"},{"name":"Department of Urology, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Demir","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer Faruk","family":"Boran","sequence":"additional","affiliation":[{"name":"Urology Clinic, Balikligol Government Hospital, Sanliurfa, Turkey"},{"name":"Department of Anesthesiology and Reanimation, Kahramanmaras Sutcu imam University, Kahramanmaras, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"Gumus","sequence":"additional","affiliation":[{"name":"Urology Clinic, Balikligol Government Hospital, Sanliurfa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halil","family":"Ciftci","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,4,22]]},"reference":[{"key":"bibr1-0391560319844657","volume-title":"Campbell Walsh urology 10th edition review","author":"McDougal 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