Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

False penile fracture: report of 16 cases

International Journal of Impotence Research volume 19, pages 471–473 (2007)Cite this article

Abstract

We determined the value of diagnostic and therapeutic approaches of false penile fractures and the outcome of treatment. We retrospectively reviewed 16 cases of presumed penile fracture with a negative surgical exploration. Clinical presentation, technique of treatment and outcome were noted. The mean age was 39 years (17–64). Nine patients were injured during sexual intercourse. All the patients presented with the presumptive diagnosis of penile fracture. False penile fracture was evoked in one patient presenting a new erection. Surgical penile exploration was carried out for all the patients without any radiological explorations. It revealed nonspecific dartos bleeding in 10 cases and avulsed superficial dorsal vein in six cases requiring venous ends ligation. All the patients regained penile appearance and potency. We can hardly distinguish false penile fracture from ‘true’ penile fracture with certainty either clinically or radiologically, thus, surgical exploration is mostly necessary. The prognosis is excellent.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on SpringerLink
  • Instant access to the full article PDF.

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Waller DA, Britton JP, Ferro MA . Rotational injury of the penis. Br J Urol 1990; 65: 425.

    Article  CAS  Google Scholar 

  2. Nicely ER, Costabile RA, Moul JW . Rupture of the deep dorsal vein of the penis during sexual intercourse. J Urol 1992; 147: 150–152.

    Article  CAS  Google Scholar 

  3. Nehru-Babu M, Hendry D, Ai-Saffar N . Rupture of the dorsal vein mimicking fracture of the penis. Br J Urol 1999; 84: 179–180.

    Article  CAS  Google Scholar 

  4. Armenakas NA, Hochberg DA, Fracchia JA . Traumatic avulsion of the dorsal penile artery mimicking a penile fracture. J Urol 2001; 166: 619.

    Article  CAS  Google Scholar 

  5. Miaadi N, Ben Slama R, Hmidi M, Ben Mouelli S, Daoudi Y, Ben Hassine L et al. Penile fracture: a retrospective study of 210 cases. Eur Urol Supp 2003; 2: 4.

    Article  Google Scholar 

  6. Koifman L, Cavalcanti AG, Manes CH, Filho DR, Favorito LA . Penile fracture-experience in 56 cases. Int Braz J Urol 2003; 29: 35–39.

    Article  Google Scholar 

  7. Karadeniz T, Topsakal M, Ariman A, Erton H, Basak D . Penile fracture: differential diagnosis, management and outcome. Br J Urol 1996; 77: 279–281.

    Article  CAS  Google Scholar 

  8. El-Sherif AE, Dauleh M, Allowneh N, Vijayan P . Management of fracture of the penis in Qatar. Br J Urol 1991; 68: 622–625.

    Article  CAS  Google Scholar 

  9. McEleny K, Ramsden P, Pickard R . Penile fracture. Nat Clin Pract Urol 2006; 3: 170–174.

    Article  Google Scholar 

  10. Beysel M, Tekin A, Gurdal M, Yucebas E, Sengor F . Evaluation and treatment of penile fractures: accuracy of clinical diagnosis and the value of corpus cavernosography. Urology 2002; 60: 492–496.

    Article  Google Scholar 

  11. Uder M, Gohl D, Takahashi M, Derouet H, Defreyne L, Kramann B et al. MRI of penile fracture: diagnosis and therapeutic follow-up. Eur Radiol 2002; 12: 113–120.

    Article  Google Scholar 

  12. Abolyosr A, Moneim AE, Abdelatif AM, Abdalla MA, Imam HM . The management of penile fracture based on clinical and magnetic resonance imaging findings. Br J Urol 2005; 96: 373–377.

    Article  Google Scholar 

  13. Nicolaisen GS, Melamud A, Williams RD, McAninch JW . Rupture of the corpus cavernosum: surgical management. J Urol 1983; 130: 917–919.

    Article  CAS  Google Scholar 

  14. Muentener M, Suter S, Hauri D, Sulser T . Long-term experience with surgical and conservative treatment of penile fracture. J Urol 2004; 172: 576–579.

    Article  Google Scholar 

  15. Ganem J, Kennelly M . Rupture Mondor’s disease of the penis mimicking penile fracture. J Urol 2001; 159: 1302.

    Article  Google Scholar 

Download references

Acknowledgements

This study was supported by Charles Nicolle Hospital, Tunis, Tunisia.

Author information

Authors and Affiliations

  1. Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia

    W Feki, A Derouiche, K Belhaj, A Ouni, S Ben Mouelhi, M R Ben Slama, M Ayed & M Chebil

Authors
  1. W Feki
    View author publications

    Search author on:PubMed Google Scholar

  2. A Derouiche
    View author publications

    Search author on:PubMed Google Scholar

  3. K Belhaj
    View author publications

    Search author on:PubMed Google Scholar

  4. A Ouni
    View author publications

    Search author on:PubMed Google Scholar

  5. S Ben Mouelhi
    View author publications

    Search author on:PubMed Google Scholar

  6. M R Ben Slama
    View author publications

    Search author on:PubMed Google Scholar

  7. M Ayed
    View author publications

    Search author on:PubMed Google Scholar

  8. M Chebil
    View author publications

    Search author on:PubMed Google Scholar

Corresponding author

Correspondence to W Feki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Feki, W., Derouiche, A., Belhaj, K. et al. False penile fracture: report of 16 cases. Int J Impot Res 19, 471–473 (2007). https://doi.org/10.1038/sj.ijir.3901574

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue date:

  • DOI: https://doi.org/10.1038/sj.ijir.3901574

Keywords

This article is cited by

Search

Advanced search

Quick links