Research Article Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions

License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions.Methods. All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Patients ’ status before fracture and voiding and erectile functions at long term were assessed by periodic follow-up and phone call. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions. Results.Among the 44 suspicious cases, 42 (95.4%) were confirmed, mean age was 34.5 years (range: 18–60), mean follow-up 59.3 months (range 9–155). Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercoursewas themost common cause (28 patients, 66.7%), followed by penilemanipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). “Woman on top ” was the most common heterosexual position