✦ Penile Fracture Treatment

Emergency Surgical Exploration + Primary Tunica Albuginea Repair

Q: Is surgery always necessary for penile fracture?

Surgery is strongly recommended as it achieves >95% erectile function recovery vs 50–60% with conservative treatment, with less fibrosis and curvature.

Q: What happens if penile fracture is not treated immediately?

Delayed treatment leads to haematoma organisation, Peyronie's fibrosis, penile curvature, and permanent erectile dysfunction in up to 30% of cases.

Q: How long is recovery after penile fracture repair?

Sexual activity is avoided for 4–6 weeks; most men regain full erectile function within 6–12 weeks of repair. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Emergency Surgical Repair of Ruptured Tunica Albuginea

30–60 min PROCEDURE

1–2 Days HOSPITAL STAY

>95% SUCCESS RATE

4–6 Weeks RECOVERY

What is Emergency Surgical Exploration + Primary Tunica Albuginea Repair?

Emergency Surgical Exploration and Primary Repair is the gold-standard treatment for penile fracture — a rupture of the tunica albuginea of the corpora cavernosa occurring during vigorous sexual intercourse. Through a circumferential subcoronal or penoscrotal incision, the tunica rupture is identified and closed primarily with absorbable sutures. Immediate surgery within 24 hours achieves the best outcomes, minimising the risk of erectile dysfunction, penile curvature (Peyronie's disease), and prolonged recovery. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days.

All patients with clinical diagnosis of penile fracture presenting with acute penile swelling, deformity, pain, and loss of erection after traumatic injury during intercourse. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Incision & Access

Circumferential subcoronal or penoscrotal degloving incision performed urgently.

Haematoma Evacuation

Haematoma evacuated; tunica albuginea inspected circumferentially.

Rupture Identification

Rupture site identified; any urethral injury assessed by urethroscopy.

Tunica Repair

Tunica albuginea closed primarily with interrupted absorbable sutures.

Urethral Repair if Needed

If urethral injury present: primary urethral repair over a catheter performed simultaneously.

Outcomes

30–60 minDURATION

1–2 DaysHOSPITAL STAY

>95%SUCCESS RATE

4–6 WeeksFULL RECOVERY

Who Needs This Treatment?

→Over 95% recovery of normal erectile function with immediate surgical repair.
→Prevents development of Peyronie's disease from unrepaired tunica scarring.
→Immediate surgery reduces haematoma propagation and urethral damage risk.
→Simultaneous urethral repair if injury identified at exploration.
→Shorter hospital stay and faster recovery than conservative management.
→Significantly superior outcomes compared to conservative (non-surgical) treatment.

"Penile fracture requires immediate surgery — every hour of delay increases the risk of permanent erectile dysfunction and curvature. With prompt repair, over 95% of men recover completely. This is a true urological emergency."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Is surgery always necessary for penile fracture?+

What happens if penile fracture is not treated immediately?+

How long is recovery after penile fracture repair?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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