Penile fracture
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- Penile fracture refers to the rupture of the tunica albuginea of the corpora cavernosa of the penis caused by external violence when the penis is in an erect state. The normal thickness of the tunica albuginea of the corpora cavernosa is about 2mm. When the penis is erect, the sinusoids of the blood vessels are engorged, the internal pressure increases, and the tunica albuginea becomes thin to only 0.2 to 0.25mm, which is very easy to break. The break is often transverse and generally does not exceed half of the circumference of the corpora cavernosa, most of which are located in the distal 1/3. This kind of injury is relatively rare because it is difficult to talk about, so many cases have not been reported.
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Catalog
1. What are the causes of penile fracture
2. What complications are likely to be caused by penile fracture
3. What are the typical symptoms of penile fracture
4. How to prevent penile fracture
5. What kind of examination should be done for penile fracture
6. Diet taboos for penile fracture patients
7. Routine methods of Western medicine for the treatment of penile fracture. 1
What are the causes of penile fracture
1. Etiology
Penile fracture often occurs during erection, such as sexual error causing the penis to collide with the pubic symphysis or perineum of the female, or masturbation pulling and bending the penis to cause injury. According to Chinese statistical data, these two causes account for 45% and 38% respectively, about 10% are broken on the bed due to compression of the erect penis, and another 7% belong to other causes.
2. Pathogenesis
When the penis is in an erect state, it is directly subjected to external force, causing the tunica albuginea and corpora cavernosa to rupture. The tunica albuginea is one of the tough fasciae in the body, but when the corpora cavernosa of the penis is erect, the blood flow increases by 7 to 8 times, making the tunica albuginea stretched and thinned (to 1/8 to 1/4 of non-erect state) and losing elasticity. At this time, it is very easy to be broken by vertical external force, even minor external force, causing the tunica albuginea and corpora cavernosa to rupture.. 2
What complications are likely to be caused by penile fracture
The complications of conservative therapy for penile fracture reach 30% to 44%. Including missed diagnosis of urethral injury, persistent hematoma, secondary infection, penile fibrosis and angular deformity, painful nodules, and sexual dysfunction caused by these. The incidence of complications in cases of vascular anastomosis is significantly lower than in cases of anastomosis of the corpora cavernosa and urethra alone. Therefore, it is currently recommended to perform penile anastomosis with vascular anastomosis to reduce the occurrence of complications.. 3
What are the typical symptoms of penile fracture
During sexual intercourse, the patient usually reports that the penis is twisted and broken with a sound, accompanied by severe pain. Subsequently, the penis becomes flaccid, swollen, curved, and deviated to the healthy side. Due to the rupture of the corpora cavernosa and the tunica albuginea with bleeding, hematoma and ecchymosis form, the skin of the penis turns bluish purple, and urination is generally normal without any abnormalities.. How to Prevent Penile Fracture
This disease is caused by direct trauma to the penis, such as kicking, falling, or being injured by being mounted. Therefore, attention should be paid to living habits, high-risk workers such as construction workers and miners are prone to injury, and attention should be paid to protecting themselves during the work process to avoid and prevent trauma. Stay calm in all matters and avoid emotional excitement leading to conflict, which can cause this disease. Gentle movements should be taken during sexual activity. Secondly, early detection, early diagnosis, and early treatment are also of great significance for preventing this disease.
5. What Laboratory Examinations Are Needed for Penile Fracture
For a few patients with不明显 symptoms, it is necessary to clarify the diagnosis through cavernosal angiography, ultrasound, and MRI. In the diagnosis, it is necessary to differentiate between unilateral and bilateral cavernosal rupture, whether there is urethral injury, whether it is a simple skin injury, vascular injury, penile displacement, etc. MRI is also known as nuclear magnetic resonance imaging, the full name in English is: nuclear magnetic resonance imaging. The reason why it is no longer called nuclear magnetic resonance and is changed to magnetic resonance is that Japanese scientists proposed that their country has been severely injured by nuclear weapons, and in order to show respect, the word 'nuclear' was removed.
6. Dietary Recommendations for Patients with Penile Fracture
1. Keep a light diet, and eat more foods rich in vitamins B1, B2, and B6, such as beans, grains, etc.
2. Consume a variety of foods, high in protein, vitamins, calories, and easy to digest, such as animal liver, eggs, lean meat, dairy products, seafood, jujube, etc.
3. Pay attention to not eat spicy food, drink alcohol, and eat刺激性食物 in diet. These can cause vascular congestion.
7. Conventional Western treatment methods for penile fracture
1. Non-surgical Treatment:Treatment measures include sedation and pain relief, indwelling catheter, and pressure bandaging of the penis. Local cold compress is applied first, then hot compress is changed after 24 hours, and oral estrogen is given, as well as intravenous antibiotic treatment. Non-surgical treatment causes the swelling of the penis to subside slowly, and local scars and hard nodules, as well as non-rigid and painful erections, may occur as complications.
2. Surgical Treatment:Cracks in the corpora cavernosa of the penis should generally be treated as soon as possible to avoid complications. Treatment measures: drain the hematoma, suture the ruptured white membrane with silk thread, and stop bleeding surgically. Generally, the swelling of the penis subsides within 10 days after surgery, and the sexual function recovers well.
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