# Surgical Outcomes Following Subcoronal Degloving Repair in Penile Fracture: A Retrospective Case Series

## TL;DR

This study examines the effectiveness of a specific surgical method for penile fractures, showing good recovery outcomes in most patients.

## Contribution

The study presents a novel evaluation of the subcoronal degloving approach for penile fracture repair with functional outcomes.

## Key findings

- 87% of patients had good erectile function three months post-surgery.
- Vigorous sexual intercourse was the most common cause of penile fractures.
- Two patients had urethral injuries, but all surgeries were successful.

## Abstract

Objective: To evaluate the surgical outcomes and management strategies for penile fracture cases presenting to a specialized healthcare facility.

Materials and methods: A retrospective analysis of eight consecutive patients with penile fracture between January 2022 to December 2024. All patients underwent surgical repairs through the subcoronal degloving approach. Outcomes at three months post surgery were assessed using the International Index of Erectile Function (IIEF-5) questionnaire.

Results: The median age of patients was 28 years (mean: 34.4 ± 10.7; range: 19-50). Vigorous sexual intercourse (75%) was the most common reason. Two patients (28%) had urethral injury. All patients were operated on successfully, and 87% of patients had a good erectile function (IIEF > 22) at three-month follow-up.

Conclusion: The subcoronal degloving approach provides favorable functional and aesthetic outcomes when performed early. Therefore, surgery should be performed regardless of the time of presentation.