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Penile fracture is a rare and dangerous injury that can happen during sex. Penile fracture is a break in the cavernous body of the penis and the white capsule of the penis. Because traumatic fractures of the penis can leave long-term damage to male genital and urinary function, prompt medical attention is required. So what are the causes and symptoms of a penile fracture?
1. Symptoms of penile fracture
Penile fractures can occur during sexual intercourse. Penile fracture is a painful injury that usually occurs in the lower two thirds of the penis. Symptoms of a penile fracture include:
Bleeding from the penis A dark and bruised hematoma in the penis Difficulty urinating A cracking or popping sound Sudden loss of erection Pain Pain Varies from mild to severe Penile fracture symptoms that are not accompanied by a crackling sound or cause a sudden loss of erection are usually suggestive of another type of trauma. Penile fractures will often cause bruising at the tip of the penis and swelling. More serious symptoms of a penile fracture include swelling in the scrotum and blood in the urine.
Other conditions that mimic the symptoms of a penile fracture include rupture of veins and arteries in the penis and rupture of the penile suspensory ligament. Your doctor may order a number of imaging techniques and physical examination to determine the extent and cause of penile fracture trauma.
2. Causes of penile fracture
Rolling over an erect penis in bed can be the cause of penile fracture.
The penis has a spongy structure called the corpus cavernosum, which is responsible for erectile function in men. When the penis is in an erect state, blood will rush to the penis to concentrate in the corpus cavernosum. When the penis is erect, one or both sides of the corpus cavernosum can break, resulting in a penile fracture.
Penile fracture usually only occurs when the male penis is erect. The flaccid penis is not usually broken because the corpus cavernosum does not expand as when the penis is erect.
According to one review, most penile fractures in the United States occur during intercourse. Penile fractures often occur in the context of men using strong force on the pubic bone or perineum of a woman during sex, which causes the cave to break or rupture. Men don't always break their penis as a result of rough sex. Penile fracture can also occur in some of the following situations:
Rolling over in bed with an erect penis Smashing an erect penis against a hard object, such as a door frame or furniture Falling while the penis is erect
Có nhiều nguyên nhân khác nhau gây tình trạng gãy dương vật
3. When do you need to see a doctor right away?
If a man suspects he has broken his penis, he must seek medical attention immediately. Doctors consider penile fracture a urological emergency because it has the potential to permanently affect male genital and urinary function. Most men will need to go to the emergency room for treatment. The faster a man can see a doctor and treat a fracture, the more likely he is to make a full recovery.
4. Diagnosis of penile fracture
Usually, a doctor can diagnose a penile fracture by asking questions about how the fracture happened and examining the penis.
Imaging tape tests, such as x-rays, may also be ordered. In addition, the doctor may order an ultrasound of the penis and scrotum to determine the exact location and extent of damage to the penis.
If the doctor cannot identify the tear with ultrasound, they may use magnetic resonance imaging (MRI) instead.
5. Penis fracture treatment
Pain and swelling with a penile fracture can be reduced with ibuprofen. Treatment for a penile fracture may include home care and surgical repair. Home remedies include:
Cold compresses for 10 minutes at a time can help reduce swelling. Use a Foley catheter to drain the bladder and relieve pressure on the penis. Take an anti-inflammatory medication that reduces swelling, such as ibuprofen, to reduce pain and swelling. Sometimes, your doctor will also order you to wrap a bandage around your penis or wear a special "splint" to keep the penis in a position that helps relieve pressure.
Conservative treatment without surgery has been shown to cause a high complication rate after penile fracture trauma. These complications can include pain during an erection, a deformed or heavily angled penis, and an inability to get an erection.
Therefore, penile fracture trauma requires surgical repair and treatment. According to some studies, gill surgery helps patients have better outcomes with penile fractures.
Surgical treatment can vary according to the extent of a man's injury. Examples of repairs that can be done after a penile fracture include:
Get rid of a hematoma or blood buildup from the fracture Stop bleeding of any damaged blood vessels Close any cuts or tears on the penis can cause bleeding. If a man's urethra is also damaged, a doctor may also need to repair it.
To repair a penile fracture, the doctor will make an incision in the skin of the penis to access one or more areas of the tear. The surgeon will sew up these tears.
If a man does not seek treatment for a penile fracture, he may experience permanent penile deformity.
Untreated penile fractures can also lead to difficulty maintaining an erection, known as erectile dysfunction.
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6. Post-operative care and recovery
The ease of recovery from a penile fracture often depends on the severity of the injury. While most men will be able to go home after the procedure, their doctor will usually advise them to limit sexual activity for at least 1 month to allow the incision to heal.
In the rare cases where it is difficult for a man to avoid an erection during the recovery period, a doctor may prescribe medication to reduce the ability to have an erection, such as sedatives or hormones.
Timely treatment of penile fractures is important to ensure a man can return to his full sexual and urinary function.
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