Introduction: Penile fracture is rare, but it is a urological emergency that always requires immediate attention. Moreover, penile fracture has been reported more frequently in recent years. It may have devastating physical, functional, and psychological consequences if not properly managed in time. Materials and Methods: The objective of this study was to highlight the causes, clinical presentations, and outcomes of cases of penile fracture. This was a Case Series extending from November 2011 to November 2015. Every patient underwent a thorough clinical evaluation and received proper treatment. Results: In this study, 40 patients of penile fracture included, ages were 19 to 56 years. Vaginal intercourse was the most common mechanism of injury. Most of the patients (95%) were diagnosed clinically with a proper history and clinical examination. Thirty Six patients were treated surgically. The patients underwent six months of follow-up, and were evaluated with local examinations, questionnaires, and colour Doppler ultrasonography as necessary. Conclusions: Although penile fracture is an under-reported urological emergency, its incidence is increasing. It is diagnosed based on a clinical examination, but ultrasonography can be very helpful in diagnosis. Especially in cases where treatment is delayed, surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications.

Keywords: Penile fracture; Penis injuries; Urological emergency; Doppler ultrasonography.