Table of contents:
- Understand how the normal penis works
- Types of penile injuries
- 1.Pile fracture (broken penis)
- 2. Amputation / cutting of the penis
- 3. Penetrating wounds
- 4. Penile soft tissue injury
- How to avoid penile injury?
Penile injury can be accidental or intentional. Intentional penile injury is usually the result of an argument or violence. Types of penile trauma are considered urological emergencies and usually require surgical intervention. The goals of treatment for penile injuries are to nourish the penis, restore erectile function, and the ability to pass urine when it is erect. That's because penile trauma may also involve the urethra (the tube in the penis that is used to urinate and ejaculate).
Understand how the normal penis works
Before we get into the types of penile injuries, it's good to know how the penis works first. The two main functions of the penis are urination and reproduction. Inside the penis are three tubes, one of which is called the urethra. The urethra is hollow and allows urine to flow from the bladder through the penis and out. The other two tubes, called the corpora cavernosa, are soft spongy tubes that eventually fill with blood during an erection. The three tubes are wrapped together by a very strong fibrous sheath, called the tunica albuginea.
During sexual activity, the erection of the penis allows the penis to be inserted into the woman's vagina. In this situation, the urethra acts as a channel for semen to ejaculate into the vagina, allowing conception and pregnancy.
Types of penile injuries
1.Pile fracture (broken penis)
A penile fracture is a tear of the corpora cavernosa. Tears of the penis are relatively rare, but are considered urological emergencies. Bending of the penis suddenly in an erect state can tear the tunica albuginea, causing the penis to become fractured. One or both corpora may be involved, and concomitant injury to the urethra may also occur. Urethral trauma is more common when both corpora cavernosa are injured.
A broken penis can usually be diagnosed based solely on history and physical examination findings. However, in cryptic cases, diagnostic cavernosography or MRI should be performed. In addition, concomitant urethral injury should also be considered, so a preoperative retrograde urethrographic study should be performed.
2. Amputation / cutting of the penis
This is when part or all of the penis is rotated. Usually associated with incidents resulting from anger, jealousy, or mental illness. Acute blood loss as a result of this tragedy of cutting the penis may be quite large and life threatening, especially if the amputation occurs while the penis is erect. Surgery must be done immediately to ensure that the cut part can still be "alive".
The goal of surgery is to restore penis length and penis function, if possible. Because the nerves to the erectile tissue are not usually damaged, a cut penis can usually still be erect. Microsurgery (an operation performed by a surgeon looking under a microscope) is required to restore any level of sensitivity.
Compared to other forms of reconstruction, microsurgery offers the best chance of having a properly functioning urethra. Particular care must be taken to reconnect the blood vessels, especially the inner dorsal veins, in order to restore venous channels and prevent swelling and impaired blood flow after surgery.
3. Penetrating wounds
This injury is the result of being hit by a ballistic weapon, shrapnel, or a stab into the penis. Penetrating wounds were most common in war conflicts and were less common among the common people. Penetrating wounds can involve one or both of the corpora, urethra, or soft tissue of the penis.
4. Penile soft tissue injury
Soft tissue injury to the penis can be caused by several factors, such as infection, burns, human or animal bites, and injuries involving machines. In this case, the corpora is not involved.
How to avoid penile injury?
The above penile trauma associated with sexual intercourse, such as a broken penis, can in most cases be prevented. Broken penis often occurs when the woman's partner is on top. If your erect penis accidentally slips from your partner's vagina, then stop immediately, before the penis is crushed by your partner's body which can cause the penis to break. For other traumas, be careful with your work, especially near machines, sharp weapons, etc.
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