![]() ![]() However, if he does not get stitches, it will still heal, but it will head with a much wider harder scar. When that happens, the laceration heals with a scar, but that scar is generally very small ,and in some cases, not all that noticeable. When a man gets a cut to his face, if it is a major laceration, he will generally go to the emergency room and get stitches to bring the skin back together. We are often contacted by men who report what may have been a penile fracture in the past, and that they never sought medical care for penile fracture surgical repair, or they went to a doctor who mistakenly did not recommend treatment of the penis fracture. The loss of the erection is due to blood exiting the tunica albuginea and accumulating under the skin, which can also lead to swelling of the penis. When the fracture of the penis is severe and acute, the patient will often hear a “popping sound” and an immediate loss of the erection. The tear usually occurs because of buckling trauma to an erect penis during intercourse with a missed thrust. When the penis is erect, the tunica albuginea can be torn when there is bending or bucking. However, if he were to do that forcefully with a fully erect penis, that would be expected to cause pain and damage. If a man with a flaccid non-erect penis, were to bend his penis 90 degrees, this would not be expected to cause any pain or damage. Under the skin of the penis, there is a structure not as hard as bone, but it is somewhat firm during an erection, when the penis fills with blood, it is very firm. Under the skin of your fingers, you can feel something firm and that is bone. The “tunica albuginea” is the structure within the penis that fills with blood during an erection, and this penis anatomy section provides an illustration of the structure. In most cases, a penile fracture is caused by a mild or significant tear to the tunica albuginea within the penis. Closest Hotels to UC Irvine Medical Center.Peyronie’s Disease Post-Op Instructions.Urethral Reconstruction Post-Op Instructions.Urethral Stricture after Prostate Surgery or Radiation. ![]() Our Erectile Dysfunction Approach & Results.Complex And Re-Do Penile Implant Surgery.Medical Therapy for Erectile Dysfunction.Erectile Dysfunction Diagnostic Evaluation.Causes & Symptoms of Erectile Dysfunction.Our Approach & Results with Peyronie’s Disease.Symptoms & Diagnosis of Peyronie’s Disease.Lichen Sclerosus – Balanitis Xerotica Obliterans – BXO.Urethral Stricture Diagnostic Evaluation.Causes & Symptoms of Urethral Strictures.Ultrasonography is easy and helpful however, the more invasive cavernosography and/or magnetic resonance imaging are indicated when the case is atypical, or the diagnosis of rupture of tunica is suspicious. There is a low incidence and degree of erectile dysfunction among repaired patients however, it should be thoroughly investigated and properly managed. We conclude that the excellent outcome of our patients parallels other reports of early surgical repair regarding low morbidity, short hospital stay and rapid functional recovery. Psychosexual consultation was required for two of these patients while the third was successfully managed by self-ICI of PGE 1 Intracavernous injection (ICI) of PGE 1 and penile duplex Doppler showed a normal pattern in three patients with erectile dysfunction while the fourth showed incompetent veno-occlusive mechanism. Delayed complications were detected in only six cases (12.2%) in the form of mild penile curvature on erection, plaques and/or mild erectile dysfunction. Interrupted absorbable sutures were used for repair in most of the patients. All tunica albuginea ruptures were unilateral except one case which was bilateral. Immediate exploration was done using subcoronal circumferential incision in about two-thirds of the cases. Penile ultrasonography was used to confirm the diagnosis in 23 patients. Only five patients had accompanying urethral rupture. Patients reporting decreased erectile function were further assessed by evaluating their response to intracavernous injection of PGE 1 and by penile color duplex Doppler ultrasonography.Īll of our patients had the classic clinical presentation of penile swelling and ecchymosis. Forty-nine patients were followed up regarding penile curvatures, plaques and erectile function. The data of 60 patients admitted to Mansoura Urology and Nephrology Center with penile fractures and treated by immediate surgical repair were reviewed with respect to their presentation, investigations, operative and post-operative details. ![]()
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