By Reuters Staff
NEW YORK (Reuters Health) - Penile fracture repair does not impair sexual function, but self-esteem scores drop during the early months after surgery, researchers from Turkey report.
Immediate surgical exploration is the preferred management for penile fracture, but few studies have examined the psychosocial and sexual effects of penile fracture and its treatment, Dr. Mustafa Suat Bolat from Samsun Training and Research Hospital, in Samsun, and colleagues note.
The team used validated questionnaires to assess the impact of penile fracture and its immediate surgical treatment on psychosocial status, sexual function, and erection quality, as well as causes and complications, in their study of 106 men with penile fracture and 28 age-matched controls.
Sexual intercourse was the main cause of penile fracture (68.8%), followed by masturbation (10.9%) and manual manipulation of an erect penis (10.9%), the researchers report in the International Journal of Impotence Research, online October 19.
After surgery, none of the patients complained of shortening of the penis, and only one patient experienced penile curvature. Other complications affecting more than one individual included painful erection (two patients, 3.2%) and erectile dysfunction (five patients, 7.8%).
Erectile function, orgasmic function, overall satisfaction, sexual desire and intercourse satisfaction scores were similar between patients and controls.
Self-Esteem and Relationship (SEAR) scores for sexual relationship, confidence, self-esteem, and overall were significantly lower among patients followed less than 24 months, compared with controls, but these differences appeared to disappear with longer-term follow-up.
Erection Hardness Scale scores did not differ between patients and controls.
“Penile fracture and its immediate surgical repair have no detrimental effect on erectile function, but the psychosocial aspect may be adversely affected for a period of 12 months, which recovers over time,” the researchers conclude. “This article clearly shows that psychosocial problems may occur and prolong for a while following immediate penile fracture with lower complication rates.”
Dr. Bolat did not respond to a request for comments.
Int J Impotence Res 2017.
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