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The structure of the penis contains the corpus cavernosum a genital and reproductive organ, when erect, blood is pumped into the corpus cavernosum allowing penetration into the vagina and sexual intercourse. A cavernous rupture due to a penile fracture is a dangerous injury that requires immediate emergency surgery. So what is the surgery for cavernous rupture due to penile fracture?
1. What is the function of the cavernous body of the penis?
Human penis without bones but still at risk of penile fracture requiring medical intervention and surgical treatment.
The penis is an impressive multi-tasking organ that has urinary, genitourinary and reproductive functions. The penis is a urinary organ, it allows urinating in a direction that allows men to stand to urinate and have the urine flow in that direction, a very useful benefit, especially useful for some public restrooms add. The structure of the penis contains the corpus cavernosum a genital and reproductive organ, when erect, blood is pumped into the corpus cavernosum allowing penetration into the vagina and sexual intercourse, and also functions as a conduit. to insert semen into the vagina, thereby transferring DNA and survival of the species. No other organ in the body exhibits such great flexibility in terms of physical changes between the "inactive" and "active" states.
Penile stiffness (or firmness) is based on blood flow into the corpus cavernosum. The human penis has no bones, unlike the penises of many other mammals. The function of the corpus cavernosum in other mammals is to facilitate copulation by maintaining penile rigidity. The human penis gains bone-strength by filling it with blood and inflating the cavernous chambers inside the two erection pillars of the penis, similar to inflating a car tire.
An erection is necessary to make the penis hard enough to achieve vaginal penetration. The price to pay for an erection of the penis is the small chance of injury that occurs during an erection - as opposed to flaccidity, which is a state that offers protection from blunt trauma.
Dương vật của con người dù không có xương nhưng vẫn có nguy cơ gãy dương vật cần can thiệp y tế và điều trị ngoại khoa.
2. What is cavernous rupture due to penile fracture?
Penile fracture is a rare but very serious case in which the outer sheath surrounding the erector shaft of the penis breaks off under the effect of a strong blow to the erect penis. It's not like a car's tire is forced to the curb, resulting in a hard hit of the tire. Although there are no bones in the human penis, the term fracture is an appropriate term for the injury, because the outer sheath is literally broken, resulting in disruption of the integrity of the pillars. Erectile. Penile fracture is a medical emergency and requires prompt surgical repair to achieve desired cosmetic and functional results.
3. What causes penile fracture?
Non-sharp injuries are rare to the non-erect penis because of its mobility and softness. Traumatic cavernous trauma from a penile fracture is usually caused when the penis is in an erect state. When the penis is erect, there is apical tension and tension in the outer shell. Fracture of the penile corpus cavernosum occurs when the corpus cavernosum is in a certain state of erection subjected to additional external trauma. This often happens during rough sex, usually when the penis slides out of the vagina and touches the perineum (the area between the vagina and anus), resulting in a traumatic jolt and rupture of the penis. cave due to penile fracture.
Penile fracture can also occur in the case of rolling over or falling on an erect penis as well as any other situation that can cause injury to an erect penis such as rough masturbation.
Cavity rupture due to penile fracture often presents a very characteristic clinical situation. An audible popping sound occurs when the corpus cavernosum ruptures, followed by acute pain, rapid loss of erection and burgundy and extreme swelling of the penis, caused by blood in the penis. the erection post exits through the rupture site, similar to the deflation of a car tire.
Gãy dương vật xảy ra khi hang vật đang ở trạng thái cương cứng nhất định chịu thêm chấn thương từ bên ngoài
4. How to treat cavernous body fracture due to penile fracture?
MRI can be used to verify the exact location, extent and anatomy of the fracture. Penile fracture emergencies need to be handled promptly in the operating room, as surgical repair of the injury is important to maintain erectile function and minimize scarring of the pole that can lead to penile curvature and flexion. object. Essentially, the skin of the penis is temporarily peeled off (peeling back like banana skin) and the fracture is identified and repaired with sutures, after which the skin is reattached.
If the process is left to heal without surgical intervention, the fracture site will leave scars and many patients have penile curvature with erection. As a result of scar tissue, when an erection occurs, there is asymmetrical dilation of the erection pillars, leading to curvature or misalignment of the penis that can be to the point of hindering or requiring extreme acrobatics for intercourse.
Surgical steps for cavernous rupture due to penile fracture
Step 1: The surgeon makes an incision in the skin, the incision location depends on the position of the white covering of the broken cavernous body, which can be applied appropriately:
If the corpus cavernosum is ruptured in the upper third of the penis: The incision can be around the penis about 1 cm below the glans, then peel the skin down to the break. If the corpus cavernosum is ruptured in the first third of the penis: The doctor can make an incision around, bring the skin up or make a longitudinal incision. If rupture is at the position of the body of the cavernous body: Make a longitudinal incision with a sufficient incision just above the rupture. Step 2: The doctor dissects the structural layers of the penis and proceeds to remove all the blood clots at the site of the rupture of the cave and around. Rinse the lesion with 0.9% NaCl solution and then examine the lesion for clarity. The white cover of the cave is shiny white, if there is continuous bleeding, the broken line can be compact but can also be broken in a star shape, it can be short, but it can also be around 1⁄2 in circumference or more. further, into almost the entire circumference of the cave.
Step 3: Trim sparingly and neatly so that the two torn edges of the white shell are easy to close together when stitching.
Step 4: Sew the white shell of the cavernous body with a removable nasal vascular suture. The stitches are tied inward so that when the white shell is healed, the button cannot be touched.
Step 5: Suture to restore deep fascia and outer superficial fascia with slow targets.
Step 6: Meticulously sewn skin to avoid wrinkled scars
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