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.

Wednesday, March 4, 2009

Sexual Addiction 101 Part 2

Signs of a sexual addicts vary but in general include the following:

-Excessive masturbation

-Infidelity and multiple affairs outside the marriage

-Multiple known and unknown sexual partners

-Always interested in pornography

-Practicing unsafe sex

-Habit of practicing phone or cybersex

-Frequenting prostitutes

-Impulsive behavior such as exhibitionism, voyeurism

-Frequent use of “sex” dating agencies

-Stalking

-Molestation of minors

-Continued verbal talk about sex and having bizarre fantasies

-Spends most of his/her money on “sex” related items

Sexual addicts generally never attain satisfaction from any of their activities and always feel unsatisfied- this is why the behavior progresses. Most sexual addicts never form bonds or relationships with their sexual partners. At the end of the usually short relationships, there is always a feeling of guilt, shame or sorrow. A common theme observed among sexual addicts is that even though they know the impulsive behavior can be destructive or dangerous, they generally have no control over the thoughts.

Sexual addiction is difficult to treat because most individuals deny they have a problem. Most cases come to recognition when there is a tragedy, family break up, divorce, arrests or a medical crises. Even at this point the sexual addict will generally blame others for the problems.

While medications like prozac may help control the obsessive thoughts, the major emphasis of treatment is based on some form of psychotherapy. Treatment is like any other addiction and involves education, counseling and some type of family therapy. Reports of success are few and far between. Part of the problem is that we live in a very liberal society with lots of freedom. As soon as these individuals complete their treatment sessions, many return back to their original lifestyle.- and start surfing cyberspace.

Sexual Addiction 101 Part 1

In the last few years, the term Sexual addiction is often mentioned in the lay press. What is hard to define is what constitutes Sexual addiction? The term sexual addiction is generally used to describe behavior of an individual who has an extraordinary sex drive or is fixated on sex.

The individual’s entire thinking is surrounded by thoughts of sex, thus making it very difficult for him/her to engage in any type of healthy interpersonal relations. While most people believe that sexual addicts are male this is not entirely true. The exact numbers of individuals with this type of behavior are lacking but there are also a number of women with such disturbed thinking.

Most of these individuals live a secrete life but often friends and family notice the obsession with sex. Besides distorted thinking, these individuals also have a habit of making excuses and generally tend to blame everyone else, except them.
It has been observed that sexual addicts are also risk takers or have impulsive behaviors. The individual for example may have sex with stranger(s) without first thinking of the consequences- which are generally negative and dangerous. Most of these individuals have such a strong preoccupation with sex, that it affects their jobs, lifestyle and social life.

In the beginning, the sexual addict may simply be watching pornographic videos on the internet, but more often than not, this progresses to reckless and illegal behavior such as exhibitionism, molestation, peeping, voyerism, or making obscene phone calls. While the majority of these sexual addicts do not become sex offenders, a few do have violent thoughts and go on to become sexual predators.

Tuesday, February 24, 2009

Demographics of autoerotic practice

Demographical Detail

Most cases of autoeroticism are reported by males under the age of 40. There are reports of individuals in the early teenager years who have tried this practice and succumbed to death. It is felt by some in psychiatry that many individuals practice this behavior soon after puberty. Even though some women have been found to have died in similar circumstances, it has always been difficult to rule out suicide homicide and accidental death. But even so, women are a rarity in this business.

It is not known why and what generates this behavior in some and not others. Fatal cases to date have revealed that the majority of victims are white and in the age group 15-25. Although other races may be involved, data are not forthcoming. Almost all victims are from middle to upper class families with strict religious backgrounds and affectionate families. Most males are described as heterosexual, smart, often over achievers, with ample friends and otherwise a typical life. They are not depressed or suicidal in any way.

There are no outward signs or features of individuals who practice this behavior. Most individuals have been found to be in otherwise healthy sexual relationships with minimal deviation in their sexual practices. Why then does one practice such behaviors?

Almost always, the individual is alone when he carries out this activity and the location is a private or isolated place. When confined to the home, the activity is carried out in the basement or the attic, especially when the family is away.