MP33-15 EPIDEMIOLOGY OF PENILE FRACTURES IN THE EMERGENCY SETTING IN THE UNITED STATES: ACCESS TO CARE AND HEALTH CARE INEQUALITY MAY LEAD TO SUBOPTIMAL OUTCOMES

INTRODUCTION AND OBJECTIVES:The epidemiology of penile fractures in the emergency setting is not well described. Aim of this study is to examine the incidence, evaluation, management and use of financial resources in patients presenting with penile fractures to the emergency departments (ED) nationwide in the Unites States.METHODS:Emergency department visits with a primary diagnosis of penile fractures (ICD-9 codes) between 2010 and 2014 were abstracted from the Nationwide Emergency Department Sample (NEDS).RESULTS:This retrospective population based 5-year study documents a weighted estimate of 8,135 visits to the ED for penile fracture in the United States, which represents a national incidence of 1.02 per 100,000 male subjects per year (± 0.068 SE). No meaningful trends in incidence were observed over the study period. The incidence of penile fractures was more common during the summer months (P <0.01) and weekends (p <0.01; table 1). Urethral injury was diagnosed in 8.05% of patients with penile fract...