Records of the department’s emergency admissions, including the operating room registers and the medical charts of the patients, were scrutinized over the period April 1995 to October 2002. The eight-year period to March 1995 was covered by the previous publication. All clinical records pertaining to patients admitted with the diagnosis of penile fracture were scrutinized with regard to age, nationality and marital status. Details of the predisposing activities, modes of presentation, and physical findings were also extracted from the patients’ records. These included details of relevant investigations and their results, management methods, operative findings, duration of hospital stay and postoperative complications. For purposes of discussion, complications encountered within the immediate postoperative period up to one week from surgery were regarded as early complications. Those occurring after one week but less than six weeks were regarded as medium-term; complications occurring after six weeks of surgery were regarded as long-term complications.

The diagnosis of penile fracture/rupture of the corpus cavernosum was made mostly on clinical grounds involving the history of trauma associated with pain during sexual activity or phallic manipulation, and clinical findings of hematoma, ecchymosis, and phallic deformity. Radiological investigations, such as cavernosography, were performed only when the diagnosis was not so obvious. Ultrasonography, although advocated by some, was not usually done in our center. Coagulation profile was performed in all cases to rule out other causes of bleeding and/or any coagulopathy. The time between the traumatic experience and presentation at the emergency room was documented for each case, including the surgical approach and technique.

Complications following the repair were noted during the follow-up period, which was limited in most patients to a maximum of three months. Patients were followed up and evaluated in the outpatient clinic one week after discharge from hospital. Further evaluations were carried out at one-month intervals for three months. No patient reported after three months. canadian cialis online

The findings in the present study were compared with findings in a previous study from our department, covering similar grounds. Our results were analyzed and their reliability tested with the SPSS 9.0 statistics program for Windows; EpiCalc 2000, version 1.02, was used to compare the means and proportions.