PENILE FRACTURE: PROLINE VERSUS VICRYL SUTURES IN PRIMARY REPAIR IMPACT ON ERECTILE AND VOIDING FUNCTIONS
M. Abol-Nasr, M., Ezz Eldin, K., R. Tawfiek, E., H. Fat’hey, A., Abol-Hasan, H., Hamdy Morsy, A. (2003). PENILE FRACTURE: PROLINE VERSUS VICRYL SUTURES IN PRIMARY REPAIR IMPACT ON ERECTILE AND VOIDING FUNCTIONS. EKB Journal Management System, 22(4), 370-374. doi: 10.21608/ejsur.2003.374251
Mamdouh M. Abol-Nasr; Khalid Ezz Eldin; Ehab R. Tawfiek; Alayman H. Fat’hey; Hamdy Abol-Hasan; Amro Hamdy Morsy. "PENILE FRACTURE: PROLINE VERSUS VICRYL SUTURES IN PRIMARY REPAIR IMPACT ON ERECTILE AND VOIDING FUNCTIONS". EKB Journal Management System, 22, 4, 2003, 370-374. doi: 10.21608/ejsur.2003.374251
M. Abol-Nasr, M., Ezz Eldin, K., R. Tawfiek, E., H. Fat’hey, A., Abol-Hasan, H., Hamdy Morsy, A. (2003). 'PENILE FRACTURE: PROLINE VERSUS VICRYL SUTURES IN PRIMARY REPAIR IMPACT ON ERECTILE AND VOIDING FUNCTIONS', EKB Journal Management System, 22(4), pp. 370-374. doi: 10.21608/ejsur.2003.374251
M. Abol-Nasr, M., Ezz Eldin, K., R. Tawfiek, E., H. Fat’hey, A., Abol-Hasan, H., Hamdy Morsy, A. PENILE FRACTURE: PROLINE VERSUS VICRYL SUTURES IN PRIMARY REPAIR IMPACT ON ERECTILE AND VOIDING FUNCTIONS. EKB Journal Management System, 2003; 22(4): 370-374. doi: 10.21608/ejsur.2003.374251

PENILE FRACTURE: PROLINE VERSUS VICRYL SUTURES IN PRIMARY REPAIR IMPACT ON ERECTILE AND VOIDING FUNCTIONS

The Egyptian Journal of Surgery
Volume 22, Issue 4, October 2003, Page 370-374  XML PDF (144.45 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2003.374251
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Authors
Mamdouh M. Abol-Nasr* 1; Khalid Ezz Eldin1; Ehab R. Tawfiek1; Alayman H. Fat’hey1; Hamdy Abol-Hasan1; Amro Hamdy Morsy2
1Urology Department, El-Minia University Hospital
2General Surgery Department, El-Minia University Hospital
Abstract
Objectives: Evaluation of the sequels and effect of primary repair of penile fracture on the erectile and voiding functions 
after using non-absorbable proline versus absorbable vicryl suture materials for repair. 
Patients and methods: Twenty-three patients who had penile fracture were included in this study. Penile fracture was 
unilateral in all patients. Corpus spongiosum was injured in 2 patients. Primary repair was done within 24 hours after injury. 
Repair was done using running proline suture (5/0) in seven patients and vicryl (5/0) in sixteen patients including a patient with a past history of a penile plaque. All patients were evaluated clinically after a mean period of 18 months. History and examination for evaluation of erectile function and voiding pattern were done in all patients. Pharmacological erection was induced in five patients. Uroflowmetry after a mean period of seven months was done in eleven patients including the two patients who had corpus spongiosal injury. 
Results: Four patients of the seven in whom repair was done using proline have stitching pain during sexual activity. Two of these patients have developed insignificant penile curvature on erection. Vicryl suture was well tolerated in all patients. 
There have been neither stitching pain nor penile curvature during sexual activity in 15 of 16 patients who had no pre-injury penile pathology. One patient had a pre-injury penile plaque and still has a significant penile curvature on erection. Two patients, including the patient with the penile plaque, have had impotence but both had history of pre-penile partial 
impotence. Fourteen patients had normal erection. All patients have a normal voiding pattern and urinalysis. Uroflowmetric curves were normal in eleven patients. 
Conclusion: Primary repair with the absorbable vicryl suture is more sound and less morbid than the non-absorbable proline suture. Proline suture may cause pain during sexual intercourse and insignificant curvature on erection. Penile fracture primary repair regains the erectile function in individuals with pre-injury normal erection. 
Keywords
Penis; penile fracture; trauma; penile deformity; erectile dysfunction
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