Zhou X, Zhou S (2018) Penile Fracture: Report of Eight Cases and Review of Literatures Reported in China. Int J Crit Care Emerg Med 4:043.


© 2018 Zhou X, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/2474-3674/1510043

Penile Fracture: Report of Eight Cases and Review of Literatures Reported in China

Xuelu Zhou1#* and Shangjun Zhou2#

1Department of Surgery, Chashan Hospital, Guangdong Medical University, China

2Department of Surgery, Dongguan Hospital, Guangzhou University of Chinese Medicine, China

#Equally contributed



The objective of the study was to highlight the epidemiology, aetiology, presentation, diagnosis and outcomes of penile fracture in China.


Except reporting eight cases, we also retrieved literatures from Chinese publications between January 1984 and July 2017. Data extracted included authors, regions and year of publication, aetiology, clinical features, diagnosis, treatment and outcome.


In 113 publications 984 cases (including our eight cases) were retrieved. An annual incidence in China has been estimated between 0.002/million and 0.2/million male populations. The commonest causes were coitus and masturbation. Clinical features were the classical triad of "cracking" sound, immediate detumescence and pain. Swelling, ecchymosis and deformity were present in the majority of patients. Diagnosis was made mainly on clinical grounds; ultrasonography can be very helpful in equivocal cases. Concomitant urethral injury accounted for 6.3% of all cases. Treatment options were surgery and conservative in 92.2% and 7.8% patients, respectively. Early surgical repair was advocated because a higher incidence of complications was found in conservatively treated patients. Complications of the injury included penile curvature, nodules, infection, painful coitus, urethral fistula, and erectile dysfunction.


Penile fracture may be underreporting which can usually be diagnosed based solely on history and physical examination findings. Early surgical repair is obviously preferable option because of excellent results even in the presence of urethral injury.