الفهرس 
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Abstract
Penile fracture is a rare form of genitourinary trauma, characterized by an acute disruption of the tunica albuginea of the corpus cavernosum. This most commonly occurs in the erect state, when the tunica is both thinner and under increased tension.
Penile fracture is usually caused by abrupt bending of the erect penis by blunt trauma, which may occur during sexual intercourse, masturbation, rolling over on the bed, or falling onto the erect penis. The presentation of penile fracture may vary depending upon the time interval between occurrence and treatment and on the presence of associated injuries. Delay in presentation is mainly due to fear and embarrassment.
At injury, these patients often report a distinct cracking, popping or snapping sound (henceforth, sound) and acute pain, followed by de tumescence, swelling, and discoloration.
While penile fracture is an uncommon injury, its incidence is probably underestimated, since patients might not seek medical treatment in emergency rooms due to embarrassment of the clinical situation.
Penile fracture may cause erectile dysfunction (ED), defined as the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Other important complications of this injury include penile fibrotic nodules and chordee.
It has been reported that the incidence of erectile dysfunction after surgical repair of fracture penis ranges from 0% up to 12%.
The aim of study was to identify the predictive factors of erectile dysfunction in healthy individuals with penile fracture incident after surgical repair according to site, length of tear, time of presentation and repair.
This was conducted as prospective case control study at Andrology outpatient clinics at Beni-Suef University hospitals and El-kasr Al-Aini Hospitals. This study was included 25 male patients with penile fracture.
The results of our present study can be summarized as follows:
In the current study, there were 7 (28.0%) Cases were Smoker, 2 (8.0%) cases were Ex- Smoker and 16 (64.0%) cases were Non-smoker and the ages ranged from 19 to 46 years (mean 29.0 years).
In this study, Regarding the Pattern of tear there were 16 (64.0%) Cases were Corpora, 5 (20.0%) cases were Sub coronal, 1 (4.0%) case was Corpora and Sub coronal, 2 (8.0%) cases were Around neck of glans and 1 (4.0%) case was Bilateral sub pubic, 56.0% of cases had tunical tear from the right side, while two cases suffered an injury in the Urethral and the Length of tear ranged from 1.5 to 5 cm with mean 2.70 cm.
In our study according to the causes, there were 16 (64.0%) Cases were Vigorous sexual intercourse, 4 (16.0%) were during masturbation, 3 (12.0%) cases were direct trauma and 2 (8.0%) were rolling over the erect penis.
This study showed that, the clinical presentation there were 25 (100.0%) Cases were Pain, 15 (60.0%) cases were Classical eggplant deformity with ecchymosis of penis, 12 (48.0%) cases were Popping sound with sudden detumescence of erect penis, 5 (20.0%) cases were Blood at the meatus and 3 (12.0%) cases were Localized hematoma.
The present study showed that, time of presentation and surgical repair within 24h was done among all of our patients.
In the current study, as regard the time to return to sexual activity after 1 – 2 weeks were 16 (64.0) cases, 1 month were 5 (20.0) cases and 2 months were 4 (16.0) cases.
This study revealed that, there were 16 (64.0%) Cases were No ED and 9 (36.0%) were ED, including 3 cases were Mild ED, 4 cases were Mild to Moderate ED and two cases were Moderate ED.
The present study showed that, there were 16 (64.0) Cases did not receive any treatment, while 9 (36.0) received treatment Tadanerfi (5 mg), Regarding the Follow Up there were; 16 (64.0%) cases were no follow up, 5 (20.0) were Followed up One month and 4 (16.0) cases were Follow up two months.
Our study revealed that, there was statistically significant increase among ED group than No ED group regarding age.
In this study, there was highly statistically significant difference between ED group and No ED group regarding Treatment and Follow up.
Our study showed that, there was highly statistically significant difference between ED group and No ED group regarding Side of tunical tear, and length of tear (cm) and there was no statistically significant difference between ED group and No ED group regarding pattern of tear, site of tunical tear (shaft) and urethral injury.