Symptoms of cavernous body injury

summary

The so-called penile fracture is an image of penile fracture. It is clinically called penile cavernous rupture. It is a rare surgical emergency in urology department. Anatomically, the penis is composed of two penile cavernous bodies and one urethral cavernous body. The urethra runs through the urethral cavernous body. There are abundant vascular sinuses in the corpus cavernosum of the penis, which are surrounded by tough tunica albuginea. The tunica albuginea is a membranous tissue that seals the corpus cavernosum. When the penis is erect, the white membrane around the corpus cavernosum is in a high tension state due to the hyperemia and expansion of the corpus cavernosum. If at this time the penis is subjected to a strong external force, so that the root of the penis and the head between the formation of a larger folding pressure, can lead to rupture of the tunica albuginea. Therefore, in fact, the real rupture site of penile fracture is the tunica albuginea around the corpus cavernosum. The symptom that penis cavernous body injures tells everybody.

Symptoms of cavernous body injury

Generally speaking, any part of the penis may be broken, but the most common is in the proximal 1 / 3 of the penis. The incidence rate of left and right sides was similar, most of them were transverse lacerations, and less of them were bilateral ruptures at the same time. Urethral corpus cavernosum in penile erection due to less congestion, less hardness than the penile corpus cavernosum, the probability of rupture is low.

The vast majority of patients have a typical history of penile erection injury, patients or their sexual partners can generally hear the "click" sound. After the injury, the local penis is in severe pain, the penis becomes soft rapidly, and then swelling and blood stasis appear, and the penis appears bending deformity, which can be inclined to the opposite side, showing "s" like swelling or downward bending. If the penile fascia is complete, the hematoma is limited to the penis. If the penile fascia is ruptured, the hematoma spreads to the scrotum and perineum.

Penile "fracture" can cause dysuria due to hematoma pressing the urethra, but it generally does not damage the urethra. If accompanied by urethral injury, there will be hematuria or urethral bleeding phenomenon. Local palpation can touch the isolated mass with solid texture and swelling feeling at the broken part of the penis, and the penile skin can slide back and forth on it.

matters needing attention

Strengthen sex education, do not bend the penis when masturbating, and avoid excessive movement when having sex. Patients with phimosis should be operated as soon as possible. Sex was forbidden for 6 weeks after penile surgery.