If a penile fracture is suspected, immediate operative exploration is recommended. Even in the case of delayed presentation longer than 48-72 hours after injury, repair of a penile fracture has been shown to decrease the rate of penile curvature and erectile dysfunction when compared to observation.
The operative procedure is usually relatively simple and involves drainage of accumulated blood, and locating and repairing the defect. If a concomitant urethral injury is present, either urethral catheterization is performed or directed urethral repair is undertaken. Patients are routinely discharged home on the same day following the operation.
No sexual relations are permitted for a full four weeks post-injury and repair. This management approach results in excellent preservation of both penile anatomy and function.
