Results of Immediate Repair of Peno-Urethral Injuries

Background: Peno-urethral injuries are common in young persons. This study was conducted to know the results of immediate surgical repair in these patients. Patients and Methods: The study was conducted at Department of Urology, Bolan Medical College, Quetta, Pakistan, from January 2000 to December 2006. Forty-four patients were admitted during this period having penile fracture with associated urethral injury. Four mild cases were treated conservatively. Forty patients were operated as emergency cases within 2 to 72 hours of injury and followed up at 3 months and 2 years. Results: The mean age of the patients was 32 years, 26 (59%) were married and 18 (41%) un-married. Thirty (68.19%) cases occurred during sexual intercourse and 14 (31.81%) cases due to non-coital causes including masturbation, forceful manipulation and trauma. Out of the 40 patients undergoing immediate surgical repair, 36 (90%) showed neither erectile nor voiding dysfunction while only 4 (10%) had only mild penile curvature and pain during coitus. Conclusion: Immediate surgical repair of traumatic peno-urethral injuries results in regaining complete penile and voiding function.