COITAL INJURY IN ADULT MALES: A CLINICAL STUDY FROM BURDWAN MEDICAL COLLEGE UROLOGY DEPARTMENT.
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Keywords
penile fracture, coital trauma, sexual injury, urethral injury, adult male urology
Abstract
Coital injuries in adult males represent urological emergencies that range from minor superficial trauma to complete penile fracture with urethral involvement. Despite being relatively uncommon, these injuries have significant functional, sexual, and psychological consequences. The present study evaluates the spectrum, mechanisms, management, and outcomes of coital injuries in adult males presenting to a tertiary-care teaching hospital in Eastern India.
Methods: A prospective observational study was conducted over five years at Burdwan Medical College , Burdwan. Adult males presenting with genital or lower urinary tract trauma sustained during sexual intercourse were included. Data collected included demographic details, mechanism of injury, clinical features, imaging findings, operative procedures, complications, and functional outcomes. Patients were followed for up to six months.
Results: A total of 18 patients presented with coital injuries during the study period. The majority (72%) were between 21–40 years of age. The most common injury pattern was penile fracture (12 patients, 66%), followed by frenular tear (3 patients), superficial lacerations (2 patients), and urethral disruption (1 patient). Penile fracture was strongly associated with the “woman-on-top” position (58%). Surgical exploration was performed in all penile fracture cases. Mean hospital stay was 2.3 days. Postoperative complications were minimal, with two patients developing transient penile curvature and one reporting mild erectile dysfunction at 6-month follow-up.
Conclusion: Coital injuries in adult males are clinically significant and require prompt diagnosis and management. Early surgical intervention ensures optimal sexual and functional outcomes. Public awareness and clinician familiarity are essential to minimize delays in treatment.
References
2. Barros R et al. Mechanisms of penile fracture. Urology. 2014.
3. Gamal WM et al. Penile fracture: long-term results. BJUI. 2011.
4. Barros R et al. Sexual position and penile fracture risk. J Sex Med. 2011.
5. Eke N. Fracture of the penis. BJUI. 2002.
6. Amer T et al. Penile fracture epidemiology. Nat Rev Urol. 2016.
7. Fergany AF et al. Tunica albuginea biomechanics. J Androl. 1999.
8. Mahapatra RS et al. Penile fracture clinical diagnosis. Indian J Urol. 2013.
9. Reddy S et al. Conservative vs surgical repair. Urology. 2011.
10. Zare Mehrjardi M et al. Imaging in penile fracture. Radiographics. 2019.
11. Ateyah A et al. Surgical repair outcomes. Int J Impot Res. 2008.
12. Leach GE et al. Frenulum breve and sexual injury. J Urol. 1986.
13. El-Assmy A et al. Urethral injury in penile fracture. Scand J Urol. 2010.
14. Andrich DE, Mundy AR. Urethral trauma management. BJU Int. 2001.
15. Koifman L et al. Long-term functional outcomes. J Sex Med. 2008.
16. Kramer SA et al. Post-fracture penile curvature. Urology. 2017.
17. Abolyosr A. Psychological effect of penile trauma. Arab J Urol. 2017.
18. Saha B et al. Coital trauma reporting patterns in India. Indian J Urol. 2019.
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Susanta Kumar Das
MBBS, MS, DNB, MCh Urology.(Associate Professor, Urology, Burdwan Medical College, Burdwan),
Dr Manav De
MBBS.(Senior Medical Officer, Urology, Burdwan Medical College, Burdwan)