Incidence of Penile Fracture in Iran; a Cross-SectionalStudy

Penile fracture is a urological emergency requiring proper diagnosis and treatment. Limited stud-ies conducted in Iran have reported high prevalence of this problem (9.9 per 100,000 male population). In thisstudy, we also examined the causes and symptoms, as well as the type of treatment physicians choose so thatin the future, we can use this data to educate physicians and other people in the community about this disease.

First, all urologists across the country were contacted and informed about the project. Then, fromFebruary 2017 to February 2018, a pre-prepared questionnaire containing the required information was sent tothem and they were asked to complete and send this questionnaire in case of a penile fracture. Then, every twoweeks, we reconnected all urologists in different ways (email, phone call, virtual networks, etc.) and collectedrelevant data. Finally, all data were analyzed using SPSS software, version 19.

The incidence of penilefractures was estimated to be 2.5 per 100,000 men (from 0.38 in the age range of 69-60 years to 3.9 in the agerange of 39-30 years). The most common causes of penile fractures were sexual intercourse (64.8%), followedby non-sexual trauma (16.9%) and masturbation (13.3%). Pain, edema and discoloration of the penis were themost common symptoms at the time of admission (83.6%) and most patients (84%) had referred to a physicianwithin the first 24 hours after the accident. 78.9% of urologists believed in emergency surgical treatment, while20.3% believed in delayed surgical treatment and 0.7% believed in supportive treatment.

Becauseof the cultural diversity of Iran, the rate of penile fracture is very different in different parts of Iran, but its rate ismuch lower than previous studies.