%0 Journal Article
%T Impact of Time to Surgical Repair on Erectile Function and Clinical Outcomes Following Penile Fracture: A Retrospective Cross-Sectional Study at Two Specialist Hospitals in North-West Cameroon
%A Titus Tagang Ngwa-Ebogo
%A Landry Oriol Mbouche
%A Marie Louise Manka&#8217
%A a
%A Divine Enoru Eyongeta
%A Forcha Yannick Tandu
%A Marcella Derboise Christelle Biyouma
%A Fru Forbuzshi Angwafo III
%J Open Journal of Urology
%P 226-234
%@ 2160-5629
%D 2025
%I Scientific Research Publishing
%R 10.4236/oju.2025.156024
%X <b>Background: </b>Penile fracture is a urological emergency that requires prompt surgical repair to prevent functional complications. However, delayed presentation and treatment are common in sub-Saharan Africa, potentially impacting outcomes. This study aimed to evaluate the effect of time to surgical intervention on erectile function and other clinical outcomes in penile fracture cases. <b>Methods:</b> A retrospective cross-sectional study was conducted over a five-year period (2019-2024) at Nkwen Baptist Hospital and Regional Hospital Bamenda, Cameroon. Twenty-six patients with confirmed penile fracture who underwent surgical repair were included. Patients were categorized into early (&lt;24 hours) and delayed (&#8805;24 hours) surgery groups. Data on socio-demographics, clinical presentation, operative findings, and outcomes were analyzed using chi-square and t-tests. Multivariate analysis using penalized logistic regression was applied to identify independent predictors of erectile dysfunction. <b>Results:</b> Of the 26 patients, 15 (57.7%) underwent early surgery while 11 (42.3%) had delayed surgery. Erectile dysfunction was observed exclusively in the delayed group (45.5% vs. 0%, p = 0.0163). Time to resume sexual activity was significantly shorter in the early group (9.5 vs. 12.3 weeks, p &lt; 0.0001). Postoperative complications were more frequent in delayed cases (45.5% vs. 0%, p = 0.0163). Multivariate analysis confirmed delayed surgery as a strong independent predictor of erectile dysfunction (adjusted OR: 10.5, 95% CI: 1.1 - 98.7). <b>C</b><b>onclusion:</b> Early surgical repair (&lt;24 hours) of penile fracture significantly improves erectile function and reduces complications. Timely diagnosis, prompt referral, and increased public awareness are critical for optimal outcomes in penile fracture management.
%K Penile Fracture
%K Erectile Dysfunction
%K Surgical Timing
%K Urological Emergencies
%K Cameroon
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=143529