The Association of Penile Fracture and Female Sexual Abnormalities
Urology Journal,
Vol. 19 No. 04 (2022),
,
Page 320-324
https://doi.org/10.22037/uj.v19i.6818
Abstract
Purpose: To study the effect of female sexual abnormalities on the etiology of penile fracture, which is an important urological emergency.
Materials and Methods: The sexual function of the partners of patients with penile fracture (study group, n = 90) treated at our clinic and healthy women (control group, n = 90) were evaluated on a voluntary basis. In both groups, sexual function was evaluated with the Female Sexual Function Index (FSFI). Each substance of the FSFI was evaluated separately by comparing both groups and the effect on the development of penile fracture was investigated.
Results: There was no difference in demographic and clinical characteristics between the study and control groups. Evaluation of sexual function with FSFI revealed that the scores of vaginal lubrication, orgasm, satisfaction, and pain subscales were lower in the study group (p < .001). Among these subscales, anorgasmia was determined as the factor with the largest effect on the development of penile fracture (OR = 7.333, 95% CI = 2.666–20.166, p < .001). No correlation was found between the largest dimension of penile fracture and FSFI total and subscale scores in the study group.
Conclusion: We believe that female vaginal dryness and dyspareunia in particular are factors which could cause the development of penile fracture during sexual intercourse. The treatment could prevent the development of penile fracture in the male.
- PENILE FRACTURE
- FSFI
- SEXUAL ABNORMALITIES
- dyspareunia
How to Cite
References
1. Barros, R., Schulze, L., Ornellas, A.A., et al. Relationship between sexual position and severity of penile fracture. Int J Impot Res. 2017; 29: 207–209.
2. De Luca, F., Garaffa, G., Falcone, M., et al. Functional outcomes following immediate repair of penile fracture: a tertiary referral centre experience with 76 consecutive patients. Scand J Urol. 2017; 51: 170–175.
3. Agarwal, M.M., Singh, S.K., Sharma, D.K., et al. Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol. 2009; 16: 4568–4575.
4. Reis, L.O., Cartapatti, M., Marmiroli, R., et al. Mechanisms predisposing penile fracture and long-term outcomes on erectile and voiding functions. Adv Urol. 2014; 2014: 768158.
5. Buster, J.E. Managing female sexual dysfunction. Fertil Steril. 2013; 100: 905–915.
6. Neijenhuijs, K. I., Hooghiemstra, N., Holtmaat, K., et al. The Female Sexual Function Index (FSFI)-a systematic review of measurement properties. J Sex Med. 2019; 16: 640–660.
7. Rosen R, Brown C, Heiman J, et al. The female sexual functionindex (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J SexMaritalTher. 2000;26: 191–208.
8. Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J SexMaritalTher. 2005;31:1–20
9. Hatzichristodoulou, G., Dorstewitz, A., Gschwend, J.E., et al. Surgical management of penile fracture and long-term outcome on erectile function and voiding. J Sex Med. 2013; 10: 1424–1430.
10. Koifman, L., Barros, R., Junior, R.A., et al. Penile fracture: diagnosis, treatment and outcomes of 150 patients. Urology. 2010; 76: 1488–1492.
11. Zargooshi, J. Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol. 2000; 164: 364–366.
12. Zargooshi, J. Penile fracture in Kermanshah, Iran: the long-term results of surgical treatment. BJU Int. 2002; 89: 890–894.
13. Zargooshi, J. Sexual function and tunica albuginea wound healing following penile fracture: An 18-year follow-up study of 352 patients from Kermanshah, Iran. J Sex Med. 2009; 6: 1141–1150.
14. Amer, T., Wilson, R., Chlosta, P., et al. Penile fracture: a meta-analysis. Urol Int. 2016; 96: 315–329.
15. Taha, S.A., Sharayah, A., Kamal, B.A., et al. Fracture of the penis: surgical management. Int Surg. 1988; 73, 63–64.
16. Beigi, M. and Fahami, F. A comparative study on sexual dysfunctions before and after menopause. Iran J Nurs Midwifery Res. 2012; 17: S72–75.
17. Llaneza, P., Fernandez-Inarrea, J. M., Arnott, B., et al. Sexual function assessment in postmenopausal women with the 14-item changes in sexual functioning questionnaire. J Sex Med. 2011; 8: 2144–2151.
18. Zhang, C., Cui, L., Zhang, L., et al. Sexual activity and function assessment in middle-aged Chinese women using the female sexual function index. Menopause. 2017; 24: 669–676.
19. Jaafarpour, M., Khani, A., Khajavikhan, J., et al. Female sexual dysfunction: prevalence and risk factors. J Clin Diagn Res. 2013; 7: 2877–2880.
20. Ghazanfarpour, M., Khadivzadeh, T., Latifnejad Roudsari, R., et al. Obstacles to the discussion of sexual problems in menopausal women: a qualitative study of healthcare providers. J Obstet Gynaecol. 2017; 37: 660–666.
21. Nur'aini, Afiyanti, Y. and Setyowati. Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in Indonesia. Enferm Clin. 2019; 29: 551–555.
22. Thomas, H.N., Neal-Perry, G.S. and Hess, R. Female sexual function at midlife and beyond. Obstet Gynecol Clin North Am. 2018; 45: 709–722.
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