Penile fracture is, to put it mildly, non-standard damage. It is a rupture of the protein membrane that covers the cavernous bodies, filled with blood in an excited state. Fracture is fraught with dangerous consequences, starting with the curvature of the penis and ending with damage to the urethra. If this happened - at the same second you need to call the ambulance. But what are the causes of such damage, and what will the treatment imply? This and much more should be told in more detail.
Causes
In 60% of cases, a fracture of the penis occurs due to a blow made on it during an erection. Often the cause is another physical effect.
It should be noted that the protein shell is very flexible, although its thickness is 2 mm. But even so, it is very easy to damage. Most often this happens during sex, with a sharp bend of a tense member (in a state of rigidity, that is).
If the blow fell on the penis when it was detouched (in a calm state, without an erection), then there will also be consequences. The protein coat will remain intact, but a strong subcutaneous hematoma will appear.
In general, in order to avoid a fracture, you need to be careful. Sometimes the organ simply slips out during too violent and intense process, because of which there is a sharp bend when focusing on the pubic bones of the partner. As a result - a fracture of the penis. In 10-25% of cases, because of this, damage to the spongy substance and urethra still occurs.
Symptoms
Unfortunately, according to the sensations, men immediately understand what happened. What happened is accompanied by such manifestations:
- Severe pain, increasing every second.
- Cessation of erection.
- Internal bleeding, accompanied by the appearance of a hematoma on the skin.
- The deviation of the penis in the opposite direction.
A shock is even possible. Therefore, it is so important to call an ambulance at the same time, quickly explaining what happened.
Hematoma
This is the main sign of a penile fracture. The size of the hematoma, which occurs due to a rupture of the connective tissue membrane (also called beech fascia), depends on how badly it and the cavernous bodies were damaged.
This education can be huge. Often the accumulated blood spreads very far, affecting the perineum, pubis, scrotum, even the inner thighs and abdominal wall.
The hematoma gradually darkens, causing the skin to become cyanotic. This already painful manifestation may be accompanied by a delay in urination.
Although sometimes a hematoma does not appear. In such cases, a pronounced sign of a fracture of the penis is a defect in the cavernous bodies. It can be probed. Only this will bring terrible pain.
Diagnostics
Her doctors perform the first thing. First, they diagnose a fracture of the penis through examination and conversation, identify collateral damage. As already mentioned, this may be damage to the urethra or urethrorrhagia. It is manifested by bleeding from the urethra, occurring arbitrarily, outside the process of emptying.
It should be noted that men, because of shame, turn to doctors too late. Only 11% of victims call an ambulance right away. After several hours, it is not only difficult to diagnose other injuries - there is also a risk of serious consequences. In this matter, every minute is important, there is no room for embarrassment.
If necessary, the patient can be referred for MRI and cavernosography, which is an angiographic study of blood vessels. Upon completion of the examination, doctors decide whether there is a need for surgery.
If urethrorrhagia has been detected, then the man is sent for retrograde urethrography. This is an X-ray examination, and it will either eliminate the injury to the urethra or reveal other injuries.
Treatment
What exactly the doctor will prescribe depends on how large the hematoma and severe damage to the membrane are. Sometimes the treatment of a penile fracture is limited to the same as a bruise. Often, by the way, it turns out that the man has a dislocation. That's why we need diagnostics - to find out the nature of the damage.
But dislocation is not better. First, the doctor makes an open reduction with subsequent suturing of the damaged ligaments, then fixes the corpora cavernosa to the pelvic bones. Unpleasant sensations.
If a fracture is diagnosed, then the surgeon promptly opens the hematoma and removes blood clots. Then he sutures the defects of the cavernous bodies and membrane, drains the wound. If the frenulum ruptures, an operation such as frenuloplasty is required. Extensive defects are also removed by the plastic surgeon. This is a complex operation, you will need to remove the skin from the scrotum, pubic region or abdomen.
If the urethra was damaged, an epicystostomy will be necessary. This is a catheter that will remove urine from the bladder. To restore the channel, anastomotic urethroplasty is necessary.
Drug therapy
This is not to say that with the help of drugs it is possible to carry out effective treatment of penile fracture. Medications are used only to stabilize the condition of the victim before surgery.
Plus, a fracture is often accompanied by other injuries. Because doctors resort to infusion therapy. Special solutions are injected into the bloodstream of the patient, which help to correct the pathological losses of the body or even prevent them.
Also, drugs can be prescribed in the presence of an open wound in the patient. Usually prescribed anti-inflammatory and antibiotics. If the man is especially active, then he is prescribed a course of female hormones to suppress an erection.
What will happen if you do not see a doctor?
The above procedures, through which doctors correct what happened, are themselves significant consequences of a fracture of the penis. However, there are a few more nuances.
What will happen if a man does not go to a doctor right away? Or will it not go to him at all? This, of course, is unlikely, since living with such wild pain is unrealistic. But theoretically, the member will grow together and remain crooked for life. This will affect the erection. Well, if it will be, but a man may never experience it again. And what kind of sex with a twisted penis?
In addition, under the skin, a seal-scar forms, which will constantly resemble itself as pain. And if sexual intercourse somehow takes place, then during it it will increase to a critical point - it will not be possible to endure.
Postoperative period and prevention
Rehabilitation after such damage will take a lot of time. Sutures are removed only after two weeks. But the most difficult thing for men is that they will have to refrain from sex for at least a month and a half. The organ must fully heal and recover. However, just look at how the fracture of the penis looks (the sight is not for the impressionable). In this state of intimacy, even thoughts can not be.
What besides this? If the urethra has not been damaged, the doctor will remove the drain after three days. But otherwise, the system will be removed only after the channel function is fully restored. It takes about two weeks.
Also, within 7 days after the operation, you will need to wear special compression underwear. The body must be stationary.
And, of course, there can be no talk of physical activity. It's the same as with intimacy. But walking is allowed.
No diet is prescribed. In principle, the diet can not be limited, but a man will recover much faster if he does not drink alcohol and spicy food. This provokes the appearance of edema and complicates the healing process. It is also recommended to quit smoking.
But the most important thing, of course, is accuracy and avoiding extremes during intimacy (extreme poses, in particular). A member fracture is a rare occurrence, but there is always a risk. And in order to avoid horrific consequences, it is better to show prudence.