Friday, April 3, 2009

Penile Fracture- Painful and definitely not fun part 4

The penis is not a bone and so most people are surprised to hear that a male can develop a penile fracture. Penile fractures are not common in medicine and only a few cases are reported each year.

For those individuals who cannot imagine a penis fracturing, it is very similar to a car tire. When a fully inflated car tire has a puncture, the tire goes flat- this is very similar to a penile fracture- except that instead of air, blood leak out

The penis is made up of muscle. The muscle is enclosed in a very strong sheath, known as the tunica. The tunica maintains rigidity in the penile muscles during an erection. During an erection, the tunica is stretched and becomes thin. The tunica is a a tough substance and does not easily tear. However, sometimes there is excessive force of torque on the penis and fracture results. The tunica develops a tear which results in blood leaking out

Penile Fracture- Painful and definitely not fun Part 3

Most people regain both sexual function and ability pass urine in a few months. The recovery period in most cases is about 6 weeks. During the healing phase it is highly recommended that one avoid masturbation, sexual intercourse and anything to do with the penis and sex.

For those hyper sexed males who have erections all the time, you will probably be given some diazepam or valium to prevent premature erections and allow the incision site to heal.

After recovery many individuals do become hesitant about sexual intercourse and some may require injections of certain drugs to help maintain the erection. Other individuals may be so afraid of sex that psychotherapy may be in order. For those individuals who are shy to seek medical help, when penile fracture is not treated the scar tissue will cause severe disfiguring of the penis and prevent erections. At this stage, it is almost impossible to reverse the problem.

Like any other fracture in the body, penile fracture is not a life long problem if treatment is undertaken in time. Most people go on to lead a normal sexual life after this incident. Individuals who have had a prior penile fracture usually stick to the missionary position and turn into pussycats for the rest of their lives

Penile Fracture- Painful and definitely not fun Part 2

Sometimes penis fracture occurs when the female partner on top bends the penis in unnatural position during her frenzied movements. Anyone who practices odd and stressful sexual positions is prone to penile fracture. However it is not always the position but also the forceful motions that are required to produce the trauma.

Once an individual has developed a penile fracture, urgent treatment is required. This is not something you can sit at home and hope that it will get better. If the condition is not treated promptly, one may develop a very obvious deformity in the penis. Further, the ability to have future erections or the ability to maintain an erection may be compromised.

Diagnosis of penile fracture is straight forward. Sometimes the physician may get an Ultrasound to confirm the presence of blood .If urethral injury is suspected, the physician may get a radiological dye study to determine the point of injury.

Surgery to treat
penile fracture is not difficult. Years ago, most emergency room physicians would muck around with their home made regimens like ice, aspirin, and compression bandages. This is an old school of thought. Today, surgery is undertaken to remove the blood clots and repair the fracture site. The recovery is short and there is minimal pain.

Penile Fracture- Painful and definitely not fun

Fracture of the penis generally only occurs when the penis is erect. The penis becomes erect because of engorgement with blood. The fracture typically occurs when the individual is forcefully thrusting at the vaginal opening and misses. The penis than hits the outside genital area at an abnormal angle and fractures. When a penile fracture occurs, all the blood in the muscles of the penis leaks out and escapes in the surround tissue.

Penile fracture is very painful and often associated with an audible popping sound. The penis will at once become flaccid and the entire area around the groin and thigh will appear blue. In about a third of cases, the penile fracture will also be associated with damage to the urethra (tube that carries urine) and the individual will not be able to urinate. Frank blood may be visible at the tip of the penis near the urethral opening.

Penile fractures also occurs during rough masturbation when the penis is torqued into unnatural positions. In some parts of the Middle East, young men like to have sex in bizarre and unnatural positions – often leading to penile fracture. Other men like to place their penis inside bottles, vacuum devices, and suction cups. Occasionally things go wrong and the penis fractures. In very rare case, penile fracture can occur in a flaccid penis if heavy blunt trauma strikes the groin.