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Peng, J., Yuan, Y.M., Zhang, Z.C., Hong, Q., Cui, W.S., Gao, B., Song, W.D. and Xin, Z.C. (2013) Daily Low-Dose Tadalafil for Erectile Dysfunction Induced by Pelvic Fracture Urethral Disruption. National Journal of Andrology, 19, 443-445. (In Chinese)

has been cited by the following article:

• TITLE: Delayed Surgical Management of Penile Fracture Associated with Urethral Rupture: Functional Outcomes and the Role of Penile Rehabilitation

  AUTHORS: Molondo Noel Gontsho, Augustin Punga Maole Mongalembe, Dieudonné Moningo Molamba, Matthieu Loposso Nkumu

  KEYWORDS: Penile Fracture, Urethral Rupture, Urethroplasty, Phosphodiesterase Type 5 Inhibitors, Erectile Function, IIEF-5

  JOURNAL NAME: Advances in Sexual Medicine, Vol.16 No.4, October 20, 2026

  ABSTRACT: The authors report a case of penile fracture associated with urethral injury, surgically repaired 72 hours after the initial trauma. The procedure involved penile degloving, hematoma evacuation, tunica albuginea repair, and primary urethroplasty over a catheter. A pharmacological rehabilitation protocol using phosphodiesterase type 5 inhibitors (PDE5i) was initiated postoperatively for three months. Despite the surgical delay, functional outcomes at 12 months were excellent, with an IIEF-5 score of 22/25, no evidence of fibrosis on color Doppler ultrasound, and preserved voiding function. This case highlights the efficacy of meticulous delayed surgery combined with early medical rehabilitation.