SEXUAL FUNCTION OUTCOMES AND RISK FACTORS OF ERECTILE DYSFUNCTION AFTER SURGICAL REPAIR OF PENILE FRACTURE

Abstract

Objective: To evaluate the sexual function outcomes and risk factors of erectile dysfunction after surgical repair of penile fracture. Methods: This prospective observational study was conducted at Bacha Khan Medical College–Mardan Medical Complex, MTI, Mardan. All surgically repaired penile fracture patients were enrolled after informed consent. Baseline demographic, clinical, and intraoperative variables were recorded. Postoperative erectile function at five months was assessed using the IIEF-5. Univariate analysis and multivariate logistic regression were performed to identify independent predictors of erectile dysfunction. Results: The age mean of 45 patients was 32.8 years with majority of the patients being married (82.2%). Sexual intercourse (71.1%) was the most frequent cause of injury. Erectile dysfunction was found in 31.1%, penile curvature in 20.0% and palpable nodules in 15.6% at the age of 6 months. The results of the multivariate logistic regression showed that age 35 years and above (AOR 3.12, p=0.037), comorbidities (AOR 2.94, p=0.048), delayed repair more than 12 hours (AOR 4.25, p=0.015), and urethral injury (AOR 3.67, p=0.043) were significant independent predictors of erectile dysfunction. Conclusion: The early surgical intervention is an important factor to minimize the likelihood of erectile dysfunction but age, comorbidities, and urethral involvement are also important predictors.