Possible penile and testicular injuries

Penis is the least damaged part of the male body. However, this does not mean that rare accidents do not happen, penile trauma, penile fracture or sometimes accompanied by testicular rupture can occur at any time, mostly due to accidents caused in daily life.

Inside the male penis, there are functional tubes including: urethral canal (the hollow tube responsible for carrying urine from the bladder out) and 2 cavernous bodies, also known as cavernous bodies (tubes are made of spongy structure). soft, when filled with blood will make the penis erect). The corpus cavernosum is a cylindrical organ with a spongy body that will create the shape of the male penis. There are 2 cavernous objects located on both sides and 1 spongy object located in the middle, inside the spongy object there is a urethral canal.
All three components include 2 cavernous bodies and 1 spongy body composed of smooth muscle tissue mixed with spongy connective tissue. The white shell of the penis is composed of bundles of collagen fibers with elastic elasticity. When the penis is in a normal state, this white shell will be 2-3mm thick. However, when erect, the white shell is only about 0.5mm thick. Therefore, when there is a strong impact while the penis is erect, it is very easy to get traumatized, tearing the capsule, causing blood in the cavernous object to flow out, spreading to the fascia and causing a hematoma...
During childbirth During sexual activity, the erect penis will make it easier to put the penis into the vagina, then the urethral canal will act as a conduit for semen after the five sexes ejaculate into the vagina, helping to conceive. .

The most common cause of this condition is getting the penis caught in the zipper of the pants. Scratches caused by this cause usually heal quickly if the wound is kept in a clean condition. However, if the scratch becomes infected, the patient must take additional antibiotics to treat it.

A complete partial rupture of the penis can be performed, however, the original sensation or function of the penis is rarely fully restored.

This is a very serious condition because it can cause scarring inside the lumen of the urinary tract that obstructs the flow of urine. The cause of this penile injury is usually the patient's foot fall on the fence or the bicycle handle.

Penile fracture is still a common penile injury during erection. During sex, the penis tripped on the partner's pelvis, encountered in some situations such as having to put the penis in so it lost its way, crashed into another place, raped, had intercourse in many positions (especially) is a sitting position), rolling many times when having sex leads to injury, sudden change in position, anal intercourse in an inappropriate position, masturbation.
In addition, some other causes of penile fracture such as: the patient himself broke the penis in half, broken by someone else, due to trauma such as a sudden fall in the prone position, due to an obstacle hitting inguinal region when the penis is in an erect state. The site of the penile fracture is actually a tear in one of two tubular structures in the lumen of the penis.
Patients with penile fracture will feel pain, swelling immediately and be deformed, the penis in an erect state will collapse very quickly, after a few minutes, a hematoma appears at the following injury site. that extends to the scrotum, groin, and perineum. In case the patient has hematuria, dysuria or acute urinary retention, with blood in the mouth, it is necessary to think of associated urethral lesions.

Penile fracture will lead to destruction of the erectile control structure. After healing, the patient may have difficulty sleeping, urinating, or both. Emergency surgery is often performed to correct the fracture, prevent abnormal curvature of the penis, or minimize permanent erectile dysfunction.

The specific position of the scrotum makes the testicles very susceptible to injury from a kick to the crotch, from a gun, from something piercing the scrotum or testicles... Testicular injuries often happen suddenly It is sudden and causes severe pain, which may be accompanied by nausea and vomiting, and requires surgery if testicular rupture occurs.
Ice packs, loincloths, pain relievers, and anti-nausea medications are often effective in treating bleeding in or around the testicles. When the scrotum is torn, the testicles can "die" or lose their ability to produce male sex hormones or sperm.

Before treating injuries to the penis, the doctor will diagnose the cause based on the symptoms that the patient is experiencing. Depending on the case, there will be different treatment methods, medical treatment with drugs or surgery.
Penile surgery is usually indicated for cases of penile accident, penile fracture, testicle rupture... the doctor will proceed to remove all the hematoma, stop bleeding and sew closed. white bag, restore cave objects. After surgery, patients need to use anti-inflammatory drugs, pain relievers and antibiotics to fight infection.
Need to fix the penis on the abdominal wall to reduce edema after surgery. Limit erections with antiandrogen drugs and diazepam to relieve pain and reduce the risk of recurrent white capsule tears. Insert a fixed urinary catheter when there is a suspicion that the patient has a urethral lesion. Patients diagnosed and treated for penile trauma should not have sex for 6 to 8 weeks after surgery.
In rare cases where the penis is completely severed, then the patient needs to pack the severed part of the penis into a clean plastic bag or container, ensuring as sterile as possible. This part of the penis should be soaked in 0.9% physiological saline and marinated in ice, then quickly see a urologist for a penis enlargement surgery.

Note, the patient is not allowed to directly soak the penis part into ice because this can cause tissue damage, just soak the penis bag or box (the penis is soaked in physiological saline) into ice. to preserve the function of the severed part of the penis.
When experiencing trauma to the penis, patients need to quickly go to medical centers for examination and treatment, to limit possible dangerous complications.
Vinmec International General Hospital is the address that gathers many leading specialists in the field with a system of modern facilities that will bring the best treatment results to customers.