February 26, 2016

FRACTURE OF THE PENIS: by DR MADUKA


FRACTURE OF THE PENIS:
Just like a bone, a penis can be fractured.
The majority of penile/penis fractures result from vigorous/forceful/aggressive vaginal intercourse, where the rigid/hard penis slips out of the vagina and strikes against the perineum or pubic bone of the female, causing it to buckle. The man will feel an immediate severe pain, hear a crackling sound, his penis will go flat and swelling follows.
The condition
has also been reported to occur after manipulation of the penis during masturbation, following penile venous surgery, or after falling from the bed onto the erect penis, rolling over in bed during nocturnal tumescence/erection, or rarely, spontaneously, while urinating.
This is a urological emergency and should be seen by a urologist immediately.
First line investigation should be an ultrasound scan of the penis.
Treatment is by surgery/operation.
Note that most clinicians recommend abstinence from sexual activity for only 6 to 8 weeks after surgical repair (and there is evidence that just 2 weeks is sufficient/enough); furthermore, prevention of erection via agents such as diethylstilbestrol is not generally recommended.
Once diagnosed and treated on time, recovery is excellent and normal penis and erection restored in 90% of cases.
Dr Maduka C Ogwueleka (MRCPUK)

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