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The penis is a structure of the male sex organ that plays an indispensable role in the reproductive process. Erectile dysfunction such as hypogonadism or premature ejaculation can result from psychological causes or from trauma to the penis. Not only have a heavy impact on psychological well-being and happiness, but these disorders can also cause infertility by affecting the intercourse process. One of the most common penile injuries in male emergencies is cavernous rupture. This injury needs to be treated early and promptly to prevent complications later.1. What is burrowing?
The most common penile injury and often causing erectile dysfunction in the surgical emergency is cavernous rupture. The rupture of the corpus cavernosum needs to be treated early and accurately to avoid leaving the patient with complications of sexual dysfunction later on.
Normally, the body of the penis is made up of two cylindrical structures located on either side of the penis, called the corpus cavernosum. The cave has a spongy structure located between the urethral sheath (the way for urine to exit). The cave plays an important role in the process of creating an erection of the penis, the outside is covered with a tough white membrane. When in the state of erection, blood rushes to the corpus cavernosum and squeezes to not escape, creating a physiological phenomenon known as an erection. At this point, the surrounding membrane will stretch thin, so the structure is weak and easy to tear, so if there are traumas to the white sheath that covers the object, it can cause rupture of the corpus cavernosum. The amount of blood from there flows out and begins to overflow under the deep mesenteric membrane of the penis, causing symptoms causing hematoma in the scrotum, perineum, or trauma to the penis, also known as cavernous rupture.
Vỡ vật hang ở nam giới cần được xử trí sớm và chính xác nhằm tránh để lại biến chứng rối loạn tình dục về sau này.
2. Causes of cavernous rupture in men
Causes of cavernous rupture are most often caused by improper or rough intercourse, but the most common are patients who break the penis during masturbation or by their partner. At that time, the patient himself will have symptoms of penile swelling or rapid pain. On examination, the penis is deformed and edematous, bruised due to hematoma. The hematoma can spread to the base of the scrotum and to the perineum, sometimes even to the pubic bone. The tip of the penis may be crooked to one side and often faces the rupture. These are very important signs to help the doctor find the location of the rupture during surgery to handle. When touching the fracture, it will sting, sometimes it may bleed if there is a wound in the penis area, or it may be difficult to urinate, urinary retention.
3. When a cave object is broken, it is necessary to give first aid and go to the hospital for emergency treatment in time
rupture of cavernous bodies in men, if not treated and treated promptly and properly, there is a risk of serious complications such as penile infection due to hematoma, urine leakage into the hematoma and causes coordinated damage to areas such as the spongy matter and the urethra. Injury to rupture of the cavernous cavity also causes deformation of the penile angle and in the long term causes the penis to lose erectile ability, the formation of urine fistulas in the urethra will both seriously affect the quality of life of men. as well as the ability to engage in sexual activity in the future. Therefore, when a patient has a cavernous rupture, it is important to get to the hospital as soon as possible.
In the process of moving, the patient can give first aid by keeping the wound clean, if the hematoma area has a lot of blood flowing out, it is necessary to use a clean cloth to apply pressure to stop the bleeding. And the most important thing is to go to the nearest hospital as soon as possible.
In addition to the clinical examination, the doctor will assign a paraclinical examination to help diagnose the trauma of the rupture of the cavernous body and it is important to determine the location of the rupture of the cavernous body. Tests may include X-ray, angiography to identify lesions in the deep cavernous arteries, ultrasound to observe hematoma if clinically not obvious. Determining the location of the rupture of the corpus cavernosum is very important because it will help the surgeon determine the skin incision approach. Usually the rupture site will be located at the base of the penis, accounting for nearly 80% of cases.
In cavernous rupture, the main treatment is surgery to remove the hematoma. There are many different types of surgery. In Vietnam, urological surgeons often choose two main methods: incision along the longitudinal axis of the penis axis and transverse incision around the circumference of the penis body. Currently, transverse incisions are the method used by most surgeons because they have many advantages of immediately accessing the rupture as well as avoiding scarring of the penis later.
Trong vỡ vật hang ở nam giới, điều trị chính là phẫu thuật nhằm lấy khối máu tụ
In recent years, the number of patients with cavernous rupture in men is increasing due to the influence of unhealthy lifestyles such as viewing pictures, books with depraved and sexually suggestive content, so do not do it. master yourself. There have not been many complete and accurate studies to determine the consequences of cavernous rupture because many of them are afraid to return to the clinic, but certainly the consequence of this trauma is the risk of erectile dysfunction, affect future sexual activity. Propaganda and education for adolescents in reproductive health programs is essential to avoid unhealthy sexual behaviors, thereby reducing the risk of rupture of the corpus callosum in adolescents.
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