11/21/2018

Fracture of the penis

By Live Dr - Tue Sep 02, 1:17 pm

Written by Dr Geoff Hackett, consultant in sexual dysfunction

What is penile injury?

Injury or trauma to the penis can be accidental or deliberate.

Deliberate penile injury is a particularly violent event that is usually self-induced, or inflicted by a jealous partner or their former lover.

Despite the publicity surrounding a case of penile amputation in the USA, deliberate penile injury is rare in Western cultures, but seen more often in the Far East. Common injuries are:

  • penile amputation

  • penile fracture.
  • Fracture of the penis

    Fracture occurs when an abnormal force is applied to the erect penis. The ‘fracture’ is actually a tear in the tunica albuginea, the thick fibrous coat surrounding the corpora cavernosum tissue that produces an erection. It is an uncommon injury, usually but not always the result of damage to the penis during sexual intercourse. Most cases (75 per cent) occur on one side, 25 per cent affect both sides and in 10 per cent the tear extends into the urethra.

    • A ‘cracking’ noise.

    • Pain.

    • Bruising.

    • Immediate loss of erection.

    How is penile fracture treated?

    Advice should be sought quickly. Key elements in treating a fractured penis are:

  • pain relief

  • ice packs (always cover with a cloth before applying to skin)

  • support

  • anti-inflammatory drugs.

This regime has satisfactory results in about 80 per cent of patients but in the rest, residual pain and deformity may lead to difficulty with sex. These patients need a urethrogram (a test that shows whether the urethral tube is intact) to exclude urethral damage.

If the urethra is not damaged, any collection of blood (haematoma) is drained and repair is carried out to the damaged corpora and tunica. One report of a series of 17 repairs showed that after surgery all patients had painless erections and comfortable sex; only two patients were left with angulation (‘bent’ penis).

Urethral injuries should always be repaired but urethral stricture (narrowing) occurs long term in up to 20 per cent of men after surgery.

Penile amputation

The traumatic removal of part of the penis, or the entire penis, is usually associated with severe rage, jealousy or psychiatric disturbance.

Acute blood loss may be considerable and life threatening, particularly with amputation of the erect penis. Successful outcome of surgery is closely related to the viability (capacity to stay alive) of the severed portion, so the part should be recovered and surgical advice sought as quickly as possible.

The aim of surgery is to restore penile length and the different functions of the penis if possible. Because the nerves to the erectile tissue are not usually damaged, erectile function is frequently maintained.

Microsurgery (fine surgery done with the surgeon looking down a microscope) is necessary to restore any degree of feeling. Compared with other forms of reconstruction, microsurgery offers the best chance of having an adequately functioning urethra (tube in the penis used for urination and ejaculation).

Particular care must be taken to reconnect the veins, especially the deep dorsal vein, to restore venous drainage and prevent swelling and compromised blood flow after the operation.

20 Comments

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  4. Well one year ago while sleeping ma penis was erict I tried to change ma side from left to ma abdomen suddeenly I just  heard a cracking sou nd in ma penis it gave me a lot of pain for about half an hour but after it every thing was right but after few days I observed that ma penis wasnt getting erect I was afraid but I was afraid to tell ma parents or go to a doctor as I felt shy to consult one.But after 5 months I went to a doctor nd told him the whole story he checked ma penis with his hands for 10 minutes and told me their was no internal scar are  anything .I tried to make it erect but only the tip responded and the donside behaved as dead body, but after 3 months the downside responded but not much it was responding 70% it got bit erect but tip didn’t respond and also the length of ma penis have reduced greatly and diameter has also been effected largely ma penis seems to b like a penis of 15 year old as m currently 21.Sometimes I feel pain in ma penis , well I had many nitefalls and I also did that as I wanted to see that iz their any problem with ma sperm.the smen came out but the penis didn’t get much erect particularly the tip.the doctor that day told me every thing was fine and gave me capsules named recharge me nd also gave me oil named vigor power, I used it for ten days but nothing happened.now 1.5 year have went when the incident took place now I request your goodself to pleaseand please help me I just feel like I have lost ma men powrrs it really hurts me

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