What are the manifestations of cavernous injury?

In various emergencies in urology, the most embarrassing situation for patients may be that their penis is broken. The male penis is a soft organ that cannot be broken without erection. However, if we consider that the penis is "hard", it may break.

The key to erectile function of penis is that there are a pair of cavernous bodies in penis. When the penis is erect, a lot of blood will be injected into the cavernous body of the penis, just like a small balloon blown up. In this case, if the cavernous body of penis breaks due to the influence of external force, the penis will break, so the most common time of penis break is an accident in sexual life.

When the penis is broken, the patient will not only feel a sudden sharp pain, but also hear a crisp popping sound-just like a balloon bursting, and then the male penis will be bruised, which will soon develop into severe swelling and bruising, making the whole penis swell bigger. This is actually an internal bleeding phenomenon caused by the outflow of blood in the corpus cavernosum after the rupture of the corpus cavernosum. This is the most appropriate way to deal with it at this time. It is to see a doctor as soon as possible and repair the ruptured cavernous body through surgery, so as to immediately eliminate penis swelling and avoid sexual dysfunction in the future. In addition, some patients with penis fracture will hurt urethra at the same time, so they will bleed from the urethral orifice, which is also needed to be treated at the same time when treating penis fracture.

Penile fracture is not a common emergency, but once it happens, it will often make the parties confused and even delay the opportunity to see a doctor, affecting the function of erection in the future. This kind of situation often happens in the experiment of unfamiliar posture, which leads to the penis twisting or sudden impact and leads to fracture. Usually, when it breaks, you will hear a snapping sound, which will cause penis pain and immediately lose the function of erection. At the same time, the penis will immediately expand, showing eggplant-like deep purple. In severe cases, it will be combined with urethral tear, causing urethral bleeding. In addition, some people have counted that the penis is more likely to break when the woman is in the position of the man, so with the opening of sexual concept, this kind of unexpected situation may be more and more.

When seeing a doctor, the doctor will generally make a preliminary differential diagnosis of the patient's local pain, redness, urethral orifice bleeding and other symptoms, and ask the cause. Then they can do ultrasonic scanning to see if there is an incomplete cavernous body, or they can do cavernous body photography and inject a developer into the cavernous body of penis to see if there is any leakage. According to the diagnosis, the doctor can give correct and effective treatment.

If it is not a simple penis rupture with urethral laceration, an annular incision can be made on the penis foreskin to find out the laceration and suture it. There is no harm to sexual function after treatment. If combined with urethral laceration, it is necessary to do urethral repair surgery, preferably suprapubic cystoplasty, to avoid urine flowing into the urethra and causing urinary fistula. The best treatment is surgery, which is simple and effective, and there will be no sequelae of impotence or sexual dysfunction. Patients can rest assured.