The Management of Penile Fracture: a Review of the Literature with Special Consideration for Patients Undergoing Collagenase Clostridium Histolyticum Injection Therapy

Purpose of Review To review the current literature on acute management of traumatic penile fracture, with a specific discussion of those injuries following collagenase clostridium histolyticum (CCH) injections for the treatment of Peyronie's disease. Recent Findings The immediate repair of traumatic penile fracture injury is associated with significantly better prognosis for long-term sexual health. Corporal disruption following CCH administration has several distinct features, and the trend is to manage these patients conservatively in the absence of urethral injury. Traumatic penile fracture repair continues to have excellent results when performed immediately following injury. The post-CCH treatment setting portends increased difficulty during surgical management and can be successfully managed in most cases by conservative measures.

Automated summary

Immediate repair of traumatic penile fracture is crucial for long-term sexual health; Corporal disruption following CCH injections has unique features that require conservative management; Traumatic penile fracture repair has excellent outcomes when performed promptly, but post-CCH treatment may pose challenges that can be dealt with through conservative measures.