Hindawi Publishing Corporation Advances in Urology Volume 2013, Article ID 708362, 4 pages http://dx.doi.org/10.1155/2013/708362 Clinical Study Penile Fracture: Experience from a Third World Country Rajandeep Singh Bali, 1 Arshad Rashid, 2 Majid Mushtaque, 3 Shakeeb Nabi, 1 Sajad Ahmad Thakur, 4 and Rouf Ahmad Bhat 4 1 Department of General Surgery, Maulana Azad Medical College, New Delhi 110002, India 2 Maharishi Markendeshwar Institute of Medical Sciences and Research, D-22, Residential Complex, MMU Complex, Mullana, Ambala 133203, India 3 Minimal Access Surgery, Maulana Azad Medical College, New Delhi 110002, India 4 Department of General Surgery, Government Medical College, Srinagar 190010, India Correspondence should be addressed to Arshad Rashid; arsh002@gmail.com Received 27 March 2013; Accepted 27 June 2013 Academic Editor: Arnulf Stenzl Copyright © 2013 Rajandeep Singh Bali et al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aim. To ascertain the clinical presentation, commonest age group afected, and treatment of patients diagnosed to have penis fracture. Materials and Methods. We performed a retrospective study carried at a tertiary care hospital from January 2005 to January 2011. All the 36 patients diagnosed to have penile fracture were enrolled in the study group. he diagnosis was made based on the clinical indings in the patients. All, except two patients, were managed by a standard surgical procedure, same for all the patients, on the day of presentation to the hospital. All the data pertaining to the presentation, management, and followup of these patients were studied and scrutinized thoroughly. Results. hirty-four patients were operated while 2 refused surgery. Most of our patients were between 16 and 30 years (55.6%) of age. he commonest presenting complaints were penile swelling and detumescence during sexual intercourse or an erection. All except two of our patients were managed with immediate surgical repair which had excellent results even in the presence of associated urethral injury. Conclusion. Fracture of the penis is a surgical emergency which can be best managed by immediate surgical repair with excellent results even in the presence of urethral injury. 1. Introduction Fracture of the penis is a tear in the tunica albuginea of the corpora cavernosa which may be associated with injury to the corpus spongiosum and urethra. Although fracture of the penis can be easily recognised clinically, it is under-reported due to the embarrassing nature of the injury to the patient. A crackling sound, pain, detumescence, bruising, swelling, and bleeding per urethra are the common symptoms reported by the patients. Due to the typical symptoms of fracture of the penis, surgical exploration can be performed without delay, avoiding the need of further diagnostic procedures [1, 2]. None the less if the cause is atypical or obscure, further diag- nostic methods should be used to make the diagnosis. In order to avoid complications of conservative management, such as chordee or failure to attain erection, urgent and immediate surgical exploration is mandatory [3]. Our study was conducted retrospectively with the aim to ascertain the clinical presentation, commonest age group afected, and treatment of patients diagnosed to have penis fracture. 2. Materials and Methods A retrospective study was carried out at Government Medical College & Hospital Srinagar, that is, a tertiary care referral centre in Jammu and Kashmir, over a period of six years from January 2006 to January 2011. All the patients diagnosed to have penile fracture were enrolled in the study group. he diagnosis was made based on the clinical indings in the patients, and no invasive diagnostic procedures were carried out. All the data pertaining to the presentation, management, and followup of these patients were studied and scrutinized thoroughly. All the patients except two, who refused surgery, were operated on the day of presentation to the hospital emergency services. A standard surgical approach, that is, a subcoronal degloving incision in the penile skin, a careful