The Relationship Between the Time Until Penile Fracture Repair and Post-Operative Erectile Dysfunction.

IF 2.8 3区医学 Q1 Pharmacology, Toxicology and Pharmaceutics

Therapeutics and Clinical Risk Management Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI:10.2147/TCRM.S527293

Yekta Bıçak, Onur Dede

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Abstract

Aim: Although penile fracture is a rare condition, the damage it may cause afterwards is challenging for patients. We aimed to investigate the relationship between late presentation to the hospital and the frequency of erectile dysfunction (ED) in patients with penile fractures.

Methods: In our cross-sectional, retrospective study, the frequency and severity of ED were calculated according to the International Index of Erectile Function (IIEF) scoring in patients with penile fracture admitted to Dicle University Hospital in the inter-operative period between the event and the operation and the subsequent controls. The relationship between these two conditions was analysed.

Results: Forty-six patients who met the inclusion criteria were included in our study. The mean age was 37 (28-46) years. The mean preoperative IIEF was 25 (20-28), and the mean postoperative IIEF was 21.3 (15-27). The mean event-operation time was 9 (6-15) hours. The rate of sexual intercourse was 50%, trauma was 30%, development after masturbation was 11%, and other causes were 9%.

Conclusion: Penile fracture is a real urological emergency, and as urologists, we need to intervene as early as possible in patients experiencing this condition. We found that patients who presented to the hospital more than 12.5 hours after penile fracture had a significantly higher risk of developing ED or worsening ED in the subsequent period.

Abstract Image

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阴茎骨折修复时间与术后勃起功能障碍的关系。

目的：虽然阴茎骨折是一种罕见的疾病，但它可能造成的损伤对患者来说是具有挑战性的。我们的目的是探讨阴茎骨折患者晚到医院就诊与勃起功能障碍（ED）发生频率之间的关系。方法：采用横断面、回顾性研究方法，根据国际勃起功能指数（IIEF）评分，计算Dicle大学医院收治的阴茎骨折患者在事件与手术间及术后对照期间发生ED的频率和严重程度。分析了这两种条件之间的关系。结果：46例符合纳入标准的患者被纳入我们的研究。平均年龄37岁（28 ~ 46岁）。术前平均IIEF为25(20-28)，术后平均IIEF为21.3（15-27）。平均事件手术时间为9（6-15）小时。性交率为50%，创伤率为30%，手淫后发育率为11%，其他原因占9%。结论：阴茎骨折是一种真正的泌尿外科急症，泌尿科医师应尽早介入治疗。我们发现，在阴茎骨折后超过12.5小时就诊的患者在随后的一段时间内发生ED或ED恶化的风险明显更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-

CiteScore

5.30

自引率

3.60%

发文量

139

审稿时长

16 weeks

期刊介绍： Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.