Penile injury is a serious pathology. According to medical statistics, injuries of the male member account for 30 to 50% of injuries of the urogenital organs and a little more than 2% of the total number of injuries. In some cases, damage to the penis can be combined with scrotal injury. Men are most likely to injure the penis in the age group of 15 to 40 years. Andrology and urologists consider damage to this organ as an urgent pathology, in which urgent surgical treatment is necessary.
What are penile injuries?
Penile injuries are of various types. They are distinguished by severity and origin. Both external (integumentary) tissues and structures located inside the penis are injured. So, spongy and cavernous bodies, subcutaneous tissue, skin, albumen, fascia, muscle tissue can be damaged. Symptoms depend on the type of injury and can be manifested by edema, difficulty urinating, hematuria, hematomas, bleeding, severe pain.
First aid for traumatic injuries of the penis involves measures to stop bleeding, treat a wound, and if necessary, the removal of a foreign body that has fallen into the organ. A further treatment plan is prepared taking into account the severity of the injury and its type. For an accurate diagnosis, it is necessary to study the patient’s history, perform an examination, palpation, and an ultrasound scan.
Penis Injury Classification
- Closed (dull) penile injury:
• bruise of the penis,
• penile fracture,
• dislocation of the penis,
• infringement of the penis.
- Open trauma of the penis (penetrating lesions):
• superficial wound,
• scalped wound,
• stab wound,
• a bitten wound,
• gunshot wound,
• frostbite of the penis,
• burn of the penis.
- Traumatic amputation (penectomy).
Diagnosis of Penile Injury
Traumatic damage to a member (even if it appears to be minor) cannot be ignored in any case. It is urgent to contact a medical institution and undergo examination by a specialist doctor - a urologist, surgeon or traumatologist.
First, the doctor performs a preliminary diagnosis of the injury. He gets acquainted with the patient’s history, conducts an examination, performs palpation of the affected organ. Then, to clarify the nature of the injury, a man can be sent for ultrasound, cavernosography, ultrasound scan or even MRI. Damage to the male penis can be combined with an injury to the urethra. Therefore, in some cases, diagnostic procedures such as urethroscopy and urethrography are prescribed.
Treatment of penile injuries in men
An injured person must be given first aid before they can be taken to hospital. First of all, you need to take measures to stop bleeding (use cold, a tourniquet that compresses an antiseptic dressing on a damaged organ). If signs of a fracture are evident, the penis is urgently splintered. It is also very important to perform antishock procedures in time - infusion therapy, anesthesia.
Closed Penile Injury
Closed penis injuries include those injuries that maintain skin integrity. This category includes bruising, dislocation, pinching, fracture. Closed damage is divided into isolated and combined.
With an isolated penile injury, only the organ itself is damaged. If, in addition to the penis, the urethra, testicle, etc. is injured, then the injury is classified as combined.
Penile injuries - damage to the integumentary tissues and internal structures of the penis that occur when exposed to mechanical and thermal factors. Penile injuries account for 2.2% of all injuries and 30-50% of cases of genitourinary injuries. In approximately 1% of cases, lesions are combined with scrotal injuries. Most often, penile injuries occur in men aged 15-40 years. In urology and andrology, penile injuries are an urgent pathology and need emergency surgical care.
Bruises are the most common closed injury to the male member. Most often, injuries occur during sports (wrestling, training on shells). Danger in this regard, falling, strokes in the groin area. With such injuries, subcutaneous tissue is often affected. The protein membrane, and in some cases, cavernous tissues, can also be injured. Blood vessels are injured as a result of a bruise, so a pronounced hematoma is formed on the penis of the victim. It can also go to neighboring areas: the scrotum, perineum, pubis. Particularly large sizes are hematomas that appear as a result of injuries of the tunica albuginea, cavernous tissue.
Diagnosed with bruises is quite simple. They can be detected by a simple examination, as well as by palpation. However, these methods do not provide an opportunity to create a clear idea of the condition of all tissues of the organ. Cavernosography in the case of a bruise is usually not done, since this method is invasive, and the procedure itself takes a rather long time. In addition, difficulties often arise in interpreting the obtained x-ray. Therefore, it is better to examine the patient using MRI.
After the doctor has found out what condition the protein coat and cavernous tissue are in, they make up a treatment plan for the victim.
Traditionally, with bruising a member, conservative methods of treatment are used. The patient is prescribed a course of hemostatics, if necessary, antibiotics are prescribed (if it is suspected that the hematoma is infected). In addition, the victim must create comfortable calm conditions, apply a pressure bandage to the injured organ, periodically apply ice for several days.
But you should know that such treatment is effective only if the hematoma has not gone beyond the penis, which indicates the integrity of the protein coat. If the hematoma captures the area of the scrotum, pubis, then with high probability we can suspect that the white membrane and cavernous tissue were also injured. In such cases, a lot of blood collects under the skin, because of which the doctor cannot perform palpation and find out what condition the tissues are in. Then, for an accurate diagnosis, you have to resort to a surgical procedure. During the operation, blood clots are removed, the protein membrane is examined in detail. If a rupture of the shell is detected, it is sutured.
If such an intervention does not confirm the presence of damage, it is still justified. A much more dangerous situation arises when a patient with tears of the protein coat is treated for contusion with conservative methods. In this case, a scar is formed at the place of the gap, due to which the penis of the victim becomes curved. And if a scar forms in the cavernous tissue, the patient faces a violation of sexual function (erectile dysfunction).
If urethrorrhagia occurs after a bruise (when blood flows from the urethra), then there is damage to the urethra. In this case, the urethrogram is performed, and then, on the basis of this examination, treatment tactics are determined. If the contrast goes beyond the boundaries of the urethra, it will be necessary to drain the urine with an epicystostomy and drainage of the urinary tract. After this, the defect is sutured.
When the erect penis suddenly bends, the protein membrane undergoes overstretching and may rupture. Similar injuries are referred to as fractures. When an injury occurs, you can hear a characteristic sound, similar to the sound of tearing tissue.
The victim experiences severe pain, an immediate cessation of erection occurs. Almost immediately, a hematoma forms, which quickly captures the scrotum, thighs and the area above the pubis. With a fracture of the penis, the urethra can be injured, which is manifested by urethrorrhagia.
A preliminary diagnosis of the fracture can be made on the basis of patient complaints and the results of the examination. In some cases, palpation reveals the localization of breaks in the protein coat. If the patient is not provided with timely qualified medical care, the consequences of the fracture will be very serious. A scar will form in the cavernous tissue, which will lead to erectile dysfunction.
They treat a fracture only by surgery. An organ skin is incised on the side, blood clots are removed, the protein membrane rupture is found, and the defect is sutured with dexon. When sutures are applied, the main task of the doctor is to prevent the possible distortion of the organ at the time of the onset of erection. For this purpose, a rubber tourniquet must be applied at the root of the penis. After this, a puncture of the cavernous body is performed to administer an isotonic sodium chloride solution. Using this procedure, an erection is achieved, during which the state of the organ is assessed. If it is evident that it is curved, they immediately resort to surgical intervention - Nesbit surgery.
If the situation is complicated by an injury to the urethra, urine is diverted through an epicystostomy, after which a primary suture is placed on the urethra.
With a dislocation of the penis, sharp pain appears, a hematoma quickly spreads through the genitals and perineum. In addition, difficulties arise when urinating.
As a result of dislocation, the root of the organ and its cavernous bodies are displaced (under the skin of the perineum, pubis, scrotum, thigh or abdominal wall). This happens when the ligaments that attach the legs of the organ to the bones break. In such cases, palpation defines the penis as an empty sac; cavernous bodies in their normal place are not palpated. The causes of the dislocation are the same as the fracture.
Dislocation is treated with surgical methods. The doctor performs an incision, exposing the root of the organ. The hematoma is emptied, and the vessels are ligated. Then the surgeon adjusts the root and cavernous bodies. After they have successfully returned to their natural anatomical position, it is necessary to stitch the damaged ligaments. During surgery, you need to carefully examine the condition of the urethra to make sure that it is not damaged.
If the doctor found an injury to the urethra, then a catheter to the bladder must be passed through it. If the urethra is torn, a primary suture and epicystostomy will be required.
This injury usually occurs when the skin of the penis gets into the mechanism of the zipper of the pants. At the same time, a small wound forms on the surface of the penis, causing severe pain. Less often, the penis is infringed by the tug of the penis trunk with thread, rubber, putting on various ring-shaped objects on it. These injuries can be caused as a result of childish pranks, mental disorders, or in order to maintain an erection and prevent urinary incontinence.
The constriction of the penis is accompanied by the development of tissue edema and pain, when urine is compressed, acute urinary retention occurs. Long-term circulatory disorders in the tissues of the penis can lead to skin necrosis and gangrene of the penis.
Dislocation and fracture of the penis
The dislocation of the penis is the result of a rupture of the ligaments, with the help of which the penis is fixed to the bones of the pelvis. With this type of penile injury, there is a displacement of the corpora cavernosa under the skin of the thigh, perineum, scrotum, and the penis is palpated in the form of an empty skin bag.
Penile fracture in most cases occurs during gross intercourse and is the result of a sharp bend of the erect penis. Such a trauma of the penis is accompanied by a rupture of the cavernous bodies and can be combined with damage to the urethra and the spongy body. Usually, at the time of a fracture, a distinctive crack is heard distinctly, which patients compare with the crunch of broken glass. At the same time, an attack of acute pain occurs and an erection stops. A consequence of the onset of internal bleeding is the appearance and rapid growth of a hematoma, increased pain intensity, shock phenomena. If the urethra is damaged, urinary retention occurs. Penile fracture is a dangerous type of injury, the long-term consequences of which can be infectious complications, curvature of the penis, painful erections, impotence.
Open Penile Injury
Open lesions can be of a different nature: lacerated, chipped, cut, gunshot, bitten, scalped. Such lesions can be combined and isolated, superficial and affecting the corpora cavernosa (penetrating).
In the case of non-penetrating wounds (when only the skin and subcutaneous tissue are damaged), bleeding is not intense. And with deep wounds, severe bleeding from cavernous tissues occurs. The treatment of open lesions and the prognosis depend on the nature of the injury.
The most serious open injury to the penis is amputation. The victim needs to be provided with emergency medical care - to stop bleeding with a tight bandage. After which the patient should be taken to the hospital as soon as possible. The amputated organ must be put on ice and transported to the hospital with the victim, since it is possible to re-implant it.
Thermal Penile Injury
Factors contributing to frostbite of the genital organ are general hypothermia, urination in the cold, alcohol intoxication. The foreskin is more often frostbite, less often the body of the penis. As a result of a cold injury, the skin on the affected area acquires a crimson-blue hue, there is a burning sensation, itching, tingling, paresthesia, and swelling of the penis. With a slight degree of frostbite, these phenomena spontaneously disappear within a few days. In more severe cases, tissue necrosis forms in the affected areas of the skin, deep purulent ulcers, the healing of which is delayed for 3 or more months.
Penile burns occur as a result of exposure to the area of the genital organs of hot liquids, chemicals, sunlight, etc. A burn of the first degree is accompanied by hyperemia and edema of the penis, II degree - the formation of blisters, subcutaneous edema, urinary retention, III degree - skin necrosis, IV degree - necrosis of the spongy and cavernous bodies.
Forecast and Prevention
Penile injuries are serious injuries requiring urgent medical attention, comprehensive diagnostics and the provision of qualified care. Long-term consequences of unrecognized penile injuries may include cavernitis, abscesses, deformities and shortening of the penis, erectile dysfunction, urethral strictures. Prevention of damage to the penis will allow the protection of the genital organs when practicing traumatic sports, avoiding dangerous positions in sex, increasing the level of sexual culture and sex education, and careful handling of pets.
Types of Penile Injury
Injuries to the penis of a man can be of two types - closed and open.Closed are those lesions in which the external cover of the penis remains intact, and open are those injuries in which the integrity of the skin is impaired. Closed injuries of the penis include various deformations, in particular inflection and fracture of the penis. This deviation may occur due to violent, rather gross sexual acts or from strong blows with a heavy blunt object directly on the penis.
Also, closed injuries by urologists include bruises of the genital organ. With penile injuries, massive hemorrhages can appear in the skin of the penis and in the subcutaneous tissue. This whole process is accompanied by significant edema. Bruises are a fairly common type of genital injury. Very often, bruises occur during sports, riding and cycling, as well as in fights - as a result of a direct blow to the penis. Light bruises of the penis can be accompanied by mild painful sensations, which subside within a couple of minutes after an impact. More severe injuries are accompanied by a noticeable tear of the protein coat, increased pain and swelling of the penis, subcutaneous hematomas are formed that give the penis a bluish color, walking is difficult, and normal urination is disrupted. Strong blows to the genitals can lead to a fracture of the corpora cavernosa and the immediate development of extensive internal bleeding.
In the event of an internal rupture of the cavernous bodies of the penis, huge hematomas appear, this is due to the fact that blood accumulates under the skin of the penis or in the subcutaneous tissue. The hematoma can spread very deep into the scrotum, and can also move to the pubis and the inner thigh.
Damage to a member of the open type often occurs as a result of mechanical impact of piercing and cutting objects, as well as animal bites or excessively active actions of a sexual partner. When causing punctured or cut wounds, damage is accompanied by severe bleeding.
The most common causes of injury to the penis are considered to be pinching of the skin on the penis with an iron zipper on men's trousers. It should be noted that despite small injuries due to such injuries, the man feels quite severe pain. In order not to touch such a painful wound once again during desperate attempts to open the zipper, it is recommended to simply cut the zipper below the tightly clamped skin of the penis, so the zipper of the trousers will open on its own.
Another common cause of damage to the male genital organ is considered excessive friction during sexual contact. Such problems often arise in overly passionate lovers, as well as in adolescents who have begun sexually. In this case, skin lesions and tears of the folds of the foreskin are observed. Men who have a short frenum of the penis from birth, during an active sexual act, may experience a rupture or partial tear of the frenulum on the penis, which is accompanied by severe pain and bleeding.
Still distinguish such a peculiar injury to the penis, as a pinch of the penis with a thread, thin wire or cord. In children, such injuries are the result of banal pranks, in adults it is, as a rule, the result of masturbation and attempts to maintain an erection for a long time.
Dislocation of the penis occurs due to rupture of the ligaments, with the help of which the penis is fixed directly to the bones of the pelvis of a man. With this trauma to the penis, the cavernous bodies are displaced under the skin of the thigh, scrotum or perineum, and the penis is in a state of an empty sagging skin sac.
In the most unfortunate cases, a man is faced with a fracture of the penis. A fracture of this vital organ most often occurs if, during aggressive sexual contact, a member does not directly enter the woman’s vagina, and with the application of force strikes the pelvic bone or thigh of a sexual partner. When a member fractures, a click is heard, after which the genitals becomes dark blue or even black, due to hemorrhage.
In the cold season, frostbite of the penis is not uncommon. The cause of this damage can serve as a general hypothermia, urination in the cold and prolonged exposure to cold in a state of intoxication. Frostbite, as a rule, in most cases is exposed to the foreskin, much less often - directly to the body of the genital organ. As a result of such an injury, part of the skin on the frost-bitten area turns purple-blue, there is a burning sensation, tingling, itching, paresthesia and edema. With a slight degree of frostbite, all these phenomena disappear on their own after a few days. In severe cases, on the frost-bitten areas of the skin, tissues begin to die, deep purulent ulcers appear, which will take several months to heal.
Bitten injuries look like lacerations of the penis, may appear as a result of an animal bite or rash actions of a sexual partner. Despite the fact that the size of the affected area is small and the bleeding is scarce, the bites of the penis are always infected, therefore such wounds have a long regeneration. Animal bites pose a risk of rabies. That is why the patient is first vaccinated against rabies, and then the treatment process is already beginning.
Attempts to stretch the penis in order to increase the size can also lead to injury to the cavernous bodies. Consultations of a sexopathologist and a psychiatrist in this case are mandatory procedures.
Symptoms of Penile Injury
The symptomatology of genital injuries always varies and directly depends on the severity of the type of damage. However, there are certain symptoms that are observed with any member injury:
- pain of varying strength
- swelling of varying intensity,
- rare or numerous hematomas,
- bleeding of varying severity is possible,
- macrohematuria and microhematuria,
- difficulty urinating and its delay.
As for the characteristic symptoms, for example, bruises of the genital organ are characterized by rather sharp pain, swelling and significant noticeable hematomas on the skin.
With fractures of the reproductive organ, a crunch is always heard, after which a sharp pain appears, and an erection stops immediately. Then, severe edema with an incredibly large hematoma develops rapidly, and, as a result, the penis grows in size and turns blue in a matter of minutes.
With dislocations of the male genital organ, its root is displaced in the perineal tissue or in the scrotum tissue. In this case, detachment of the skin of the body from the head of the penis can occur, which looks like scalping of the penis.
Symptoms of infringement of the penis directly depend on the strength of the infringement, as well as on the duration of compression. In the case of this injury, the penis can get mild swelling, and in severe cases, such minor damage can result in gangrene of a vital organ.
Gunshot wounds of the penis, as a rule, are accompanied by powerful bleeding, which does not fully correspond to the size of the wound and the depth of damage. Against a background of severe bleeding, a violation of urination occurs. With gunshot wounds, foreign bodies can remain in the penis, which causes acute unbearable pain during an erection.
Symptoms of stab wounds directly depend on the depth of damage. After an open type injury, a stab-chopped character may develop cavernitis. Also among the complications include skin cicatricial adhesions, which fix the penis in a vicious position, as well as cicatricial changes in the cavernous bodies, which deform the penis and disrupt its normal erection. But the most significant complication of injuries of this kind is a violation of stricture of the urethra.
In the case of open damage to the penis, urination is very painful and can lead to delays. In the most dangerous cases, it is possible to develop urinary infiltration adjacent to tissue damage.
It is clear that with all types of injuries listed above, a man will have a shock condition, as a result of which severe depression and even psychological trauma can develop.
What are penile injuries?
Unfortunately, protecting oneself from injuries in the modern world is not an easy task.
Accidents, domestic injuries, fights and carelessness in the gym - this is an incomplete list of situations in which a man can get a penis injury.
That is why every member of the stronger sex needs to know what to do in such a situation and to whom to turn for help. Today we invite you to consider this delicate topic in full detail.
So, injuries to the male genital organ can be open and closed. The first lesions are accompanied by heavy bleeding and multiple ruptures of the corpora cavernosa. Most often, such injuries result from animal bites.
As you might have guessed, it is possible to remove necrotic tissue and restore the protein coat only by surgical intervention. In the case when an open trauma of the penis requires amputation of the penis, plastic surgery is performed to restore the shape of the penis.
The desired stem is cut out of the skin and a special construction made of plastic is fixed into it.
Open genital injuries may result in damage to the urethra. In such cases, a fistula is placed on the bladder so that urine flows out through a special hole. After recovery, the hole is sutured.
Closed injuries are distinguished by the fact that they affect the subcutaneous tissue - the protein membrane of the corpora cavernosa. That is why hemorrhage occurs under the skin. All this is accompanied by edema, cyanosis and hematoma.
The blood that accumulates inside the body passes into the scrotum, as well as on the inner surfaces of the thighs and the pubic part. With severe hematoma, the damaged protein membrane is opened to remove blood clots, after which stitches are placed at the site of the injury.
This allows you to prevent the development of purulent infection and, as a consequence, member curvature.
Penile injuries are characterized by the following conditions:
- Rupture of the frenum. Such a nuisance can occur even with careless insertion of the penis or too violent movements during sex.
- Penis bruise, which most often occurs as a result of stick and foot strikes. In this case, the protein coat remains intact, but the cavernous bodies swell a little.
- Dislocation of a member. Quite often, this situation happens when a member is in an erect state. This can happen as a result of a strong push or shock. The pubic ligaments are torn if the head moves away from the prepuce, so the male organ simply slides out of the skin membrane.
- Penile fracture with rupture of the tunica albuginea. With such an injury, a characteristic crunch, severe pain and even a shock state are noted.
- Chipped, cutting wounds and animal bites.
Ambulance for penile injuries
In such a situation, do not hesitate, and even more so shy, and immediately consult a doctor. Timely provision of medical care avoids the negative consequences of injury in 75% of cases.
Therefore, if you do not want to become impotent, then do not drag on a visit to the surgeon.
In addition, penis wounds are usually accompanied by severe pain, so you should not suffer and provoke the development of serious problems.
Immediately after the injury, it is important to apply an antiseptic tight dressing to the genital area. In the event that a traumatic amputation of the penis occurs, it is important to keep it intact. It should be in an ice container. Modern medicine allows you to sew an organ and return a full-fledged sex life to a man.
The treatment of hematoma is conservative. Here you will need hemostatic and anti-inflammatory drugs. After a couple of days, a warming compress is applied to the penis.
With a dislocation of the penis, surgical intervention is required, since the ligaments of the genital organ must be stitched. Fracture of manhood also requires the help of a surgeon.
With punctured, cutting and bruised injuries of the genital organ, it is necessary to treat the wound, stop the bleeding and introduce serum against tetanus.
If, as a result of damage to the penis, sharp swelling, hematoma, pain and lack of an erection are noted, then you should immediately consult a doctor.
Male Genital Injury
In case of any damage to the genitals, hurry to see a doctor. So you can avoid many problems.
Injuries male genitals - a problem that many men face, but not everyone at the same time seeks medical help.
Someone considers the injury trifling, and many men are simply embarrassed to go to the doctor, especially if the injury was received in circumstances in which it is embarrassing to admit to a specialist.
However, often injuries are so serious that you can’t do without a doctor.
What are the injuries?
- Lightning Injury. According to statistics, the most common cause of injuries to the male genital organs is lightning on trousers. A zipper with an unpleasant outcome is most often found in young men, boys and boys. Despite the fact that a trace of lightning usually leaves a small wound, nevertheless, the injury is quite painful
- Excessive friction. Injury to the penis due to excessive friction most often occurs in men who have just begun sex life, as well as in those who have too active sex life. Skin lesions can also occur during masturbation, especially if you do not use grease. With deep damage to the skin on the penis, scars remain.
- Rupture of the frenum. Often such injuries occur in men who have a short bridle from birth. In this case, during intercourse, tearing or rupture of the frenum is possible penis which is accompanied by bleeding and pain.
- Injury to the penis. Pulling the penis with cords (thread, wire), applying rings and using other traumatic devices can lead to infringement of the male penis. Often, children indulge in such objects, and adult men use them to improve erections and masturbate.
- Penile fracture. During intercourse, the penis may not enter the vagina, and strike, for example, on the woman's thigh or pelvic bone. Due to severe hemorrhage during a fracture, the penis becomes blue, and even black.
- Cavernith. In case of a penile injury, rupture of one or several cavernous bodies can occur, in which cavernitis develops - a disease characterized by inflammation of the cavernous bodies of the penis.
- Permanent erection. In the case when the penis is in an erect state for a long time, then, as a rule, this condition is accompanied by pain, which is associated with rupture of the arteries. Such a disease is called "priapism." Diabetes mellitus and sickle cell anemia are among the factors contributing to the development of priapism.
- Inflammatory and infectious diseases. In inflammatory diseases of the urethra, rupture of small arteries and spongy tissue occurs, as a result of which scars can form.In the future, scars can lead to curvature of the penis (Peyronie's disease), since with excitation the tension of the penis will occur unevenly.
- Other injuries. In boys and adolescents, genital injuries can occur when playing sports. Often damage occurs when falling from a height, hit sports equipment in the groin area and other circumstances.
Treatment of genital injuries
When injured, the first thing to realize a man - This is a need for a visit to the doctor. Experts note that in case of damage to the penis, the main problem is not the injury itself, but the indecision of men.
In almost 100% of cases, modern medicine will help maintain the integrity and functionality of the genitals after injuries with timely access to help. Therefore, in no case should doctors be shy.
First aid for injuries of the male genital organs consists in applying an aseptic pressure bandage or tourniquet (for lack of it, you can use a scarf) on the damaged organ. If there was a complete cut-off of the penis during an injury, then the organ must be put in ice, and during the day it can be sewn back.
In inflammatory processes, the use of antibacterial and anti-inflammatory drugs is advisable. Hemostatic drugs are used to prevent hematoma growth.
In the vast majority of cases, penile injuries require surgical intervention. When a hematoma is formed, it is necessary to open it and remove blood clots to prevent the development of purulent infection.
Closed penile lesions
The group of closed penile injuries includes bruises, dislocations, injuries and fractures - injuries in which the integrity of the skin is preserved. Such lesions can be isolated (damage to the penis only) and combined (damage to the penis and urethra, damage to the penis and testicle, etc.).
This type of closed penile injury is most common and is observed during sports games, wrestling, when performing exercises on sports equipment, falling from a height, and kicking in the inguinal region. When the penis is bruised, subcutaneous tissue, sometimes the tunica albuginea and cavernous tissue, is damaged.
Bruising of the penis leads to the formation of a significant hematoma due to damage to the vessels of the subcutaneous tissue, the hematoma extends to the scrotum, perineum and pubic region. Damage due to contusion of the penis of the protein membrane and cavernous tissue is accompanied by the formation of a hematoma of a very significant magnitude.
Diagnosis of a bruise of the penis is not difficult.
Features of the injury, examination and palpation of the penis allow us to state a bruise. However, the examination and palpation do not allow to draw a conclusion about the state of the protein coat and cavernous tissue of the penis.
Today, only MRI can confirm the presence of a defect in the protein coat. Cavernosography in such cases is rarely performed, since it is an invasive study, it takes a lot of time, and the obtained x-ray is difficult to interpret.
The condition of the protein coat of the penis and cavernous tissue determines the treatment tactics for this type of injury.
In all manuals on emergency urology, it was noted that the treatment of penile injury should be conservative (pressure dressing, local application of cold for 3-4 days, rest, the appointment of hemostatic agents, antibiotics if signs of hematoma infection appear).
In our opinion, this kind of treatment can be carried out only in cases where the hematoma is limited to the penis, which happens when the protein coat is intact.
In cases where the hematoma spreads to the skin of the scrotum and pubic region, damage to the protein membrane and cavernous tissue is very likely.
A large accumulation of blood under the skin of the penis does not allow for thorough palpation to assess the state of the protein coat.
In such cases, it is necessary to perform surgery to remove blood clots, revision of the protein coat. With a break in the protein coat, the defect in it must be sutured.
If during the intervention the rupture of the albumen is not confirmed, then this intervention will cause the patient much less harm than a conservatively treated bruise of the penis with rupture of the albumen.
A non-sutured rupture of the protein coat always leads to the formation of a scar at the site of rupture, and in the best case, this subsequently leads to curvature of the penis, and when a scar forms in the cavernous tissue, erectile dysfunction will develop.
Penis injury - damage of varying severity of both the skin of the organ and its internal tissues (subcutaneous mass, muscles, spongy and cavernous bodies).
By type, they are closed (they are found in 80% of cases) and open. All of them are often associated with everyday situations, beatings, careless sex, gunshot, stabbing or cutting wounds, frostbite and burns.
The main types include bruising, pinching, dislocation and fracture. Sometimes you have to face scalped cuts, bites and others.
In urology, it is customary to distinguish five degrees of trauma to the phallus:
- Violation of the integrity of the skin, bruise.
- An injury to the fascia of the beech that surrounds the cavernous bodies.
- Rupture of the head, urethra.
- Tears more than 2 cm in length and partial amputation.
- Complete separation of the penis.
Male Genital Injury
- Scrotum damage.
- Pain in the scrotum.
- Hematoma (accumulation of blood) under the skin of the scrotum. The scrotum becomes tense, the wrinkles are smoothed, the color is dark crimson.
- Testicular damage.
- Sharp pain in the perineum.
- Enlarged, reddened scrotum.
- Movement of the testicle from the scrotum (dislocation of the testicle) to:
- the canal connecting the scrotum cavity with the abdominal cavity (inguinal canal),
- under the skin of the thigh, pubis, penis, perineum,
- into the abdominal cavity.
- Penile damage.
- Bleeding from a wound.
- Pain in the penis.
- If the urethra is damaged:
- the release of blood from the urethra outside the act of urination,
- blood in urine
- acute urinary retention.
Depending on the integrity of the skin, there are:
- open injuries. There is a skin defect, internal cavities (for example, the cavity of the scrotum with the testicle) communicate with the external environment,
- closed injuries. There is no violation of the integrity of the skin.
Depending on which parts of the external genitalia are damaged, they emit:
- isolated injury. Only one organ is damaged - either the scrotum, or the testicle, or the penis,
- combined injury. There is traumatic damage to both the penis and scrotum.
Depending on the cause of the injury, the following degrees are distinguished:
- gunshot injury
- stab-cut injury (knife),
- animal bite wound,
- blunt injury (occurs as a result of a fall on a solid object or impact),
- electrical injury due to high voltage electric current,
- frostbite of the external genitalia.
- Crotch fall on a hard object.
- Blow to the crotch.
- Animal bite.
- Gunshot, stab wound.
- The effect of electric current.
- Long exposure to low temperature.
- Intensive sexual intercourse. Most often leads to rupture of the frenum of the penis - the skin fold going from the lower edge of the urethral opening to the foreskin (the part of the skin of the penis covering the head).
LookMedBook recalls: the sooner you turn to a specialist for help, the more chances to maintain health and reduce the risk of complications:
A urologist will help with the treatment of the disease
- Analysis of the medical history of the disease and complaints - when (how long) an injury occurred that caused it.
- Analysis of the history of life - what diseases a person suffers from, what operations he underwent, whether there were similar problems before, diseases of the urethra, prostate gland, testicles, penis.
- Examination of the external genitalia. It allows you to identify how many organs are damaged, whether there is a violation of the integrity of the skin, how pronounced a hematoma is (accumulation of blood under the skin), is there any discharge of blood from the urethra, the degree of scrotum enlargement, the uniform distribution of intramuscular blood accumulation.
- General blood analysis. Allows you to identify signs of the inflammatory process: an increase in the number of white blood cells (white blood cells), erythrocyte sedimentation rate (red blood cells) - ESR, - signs of anemia (anemia).
- General urine analysis. Allows you to identify signs of inflammation in the urinary tract: an increase in the number of white blood cells, red blood cells.
- Blood chemistry. Using this analysis, it is possible to identify signs of impaired renal function: an increase in the final products of protein metabolism (creatinine, urea, uric acid).
- Ultrasound examination (ultrasound) of the kidneys, bladder, testicles - studies allow you to assess the size and structure of the kidneys, testicles and bladder, to identify signs of urinary retention, the degree of rupture of the testicle.
- Computed tomography (CT) scan. X-ray examination, which allows you to get a spatial (3D) image of the organ. The method allows to detect damage to internal organs.
- Magnetic resonance imaging (MRI). The method allows to obtain a layered structure of the organ. It is especially valuable in determining the degree of damage to the testicle (contusion, partial rupture, complete rupture).
Conservative (non-surgical) treatment possible only with closed (without damage to the skin) injuries of the external genital organs and in the absence of signs of rupture of the testicle, penis.
- Strict bed rest.
- Wearing tight swimming trunks.
- antibiotics. Assign for the prevention of infectious inflammation of the body.
- anti-inflammatory drugs
- hemostatic drugs
Penile injury - a fairly rare lesion. It occurs only in 2% of cases. Moreover, the problem is very painful for a man. With improper or untimely treatment, it can have serious consequences. Therefore, damage must be identified in a timely manner and proceed to therapy.
What is penile damage?
The concept of penile injury includes any damage to its parts: skin, cavernous or spongy body, fascia, albumen, subcutaneous tissue. Such injuries may occur during thermal or mechanical stress. In some cases, damage is accompanied by penetration into the body of a foreign body, which must be removed as soon as possible.
Often, a penis injury is accompanied by damage to the scrotum. Men at the age of 15 to 40 are at risk. A successful cure is only possible if timely assistance is provided.
Features of various types of damage and their causes
The cause of such injuries is mechanical or thermal effects. The following types of penile lesions are distinguished:
- Injury. This type of injury is the easiest to treat. It occurs more often than others. A man can get such a wound when playing sports, riding a bicycle, after hitting an inguinal region. If the blow was of small force, then the pain subsides after 15 minutes. Severe damage is accompanied by a tear of the protein coat. This process is characterized by the formation of severe edema, pain, hematomas, discoloration, difficulty walking, problems with urination. In some cases, a severe stroke leads to internal hemorrhage. At the same time, the penis significantly increases in size and acquires an almost black color. A large accumulation of blood leads to its flow into the scrotum and the inner side of the thigh. If you do not provide assistance to the victim in time, the likelihood of developing traumatic shock is high.
- Dislocation. It occurs as a result of rupture of the ligaments connecting the penis to the adjacent bones. Such damage leads to the displacement of the corpora cavernosa to the surface of the thigh or scrotum. At the same time, a void is felt in the penis itself.
- Fracture. Most often, such damage occurs as a result of the excess of the erect penis. This can happen during hard intercourse. A man hears a characteristic crack, reminiscent of the sound of breaking glass. An erection disappears immediately. Strong pain appears. Fracture is accompanied by a rupture of the cavernous body. In some cases, there is an injury to the urethra and the spongy body. The onset of internal hemorrhage will be indicated by the formation of a large hematoma, increased pain, signs of traumatic shock appear. If measures are not taken in time, complications may develop in the form of infectious diseases, impotence, and curvature of the penis.
- Infringement. This damage occurs when the tissues of the penis get into the fastener of the trousers. In this case, a wound is formed on the surface of the penis, which causes pain. The constriction of the trunk of the penis with an elastic band or putting any ring-shaped objects on it can also lead to such damage. Some men resort to such methods to prolong an erection. Infringement is manifested in the form of swelling, problems with urination. If the penis has been under conditions of limited blood supply for a long time, necrosis or gangrene may develop.
- Superficial wounds. Such damage is the result of friction or rupture of a short frenum of the foreskin. This may cause bleeding. Often, a scar forms at the site of damage.
- Scalp wounds. Their cause is getting the penis into the details of moving mechanisms. Several open wounds are formed at once.Damage can affect the scrotum. The problem is accompanied by severe pain, bleeding, traumatic shock.
- Bite. Most often, its cause is the aggressive behavior of pets. Sometimes the sexual partner may act as the offender. Such wounds are small, but are accompanied by bleeding. Together with the saliva of a person who has bitten, an infection penetrates the wound, which causes complications. As a result, the injury heals for a long time. If the bite was applied to animals, you will have to take a course of injections from rabies.
- Stab-cut damage. Such wounds are the result of a blow to the penis with sharp objects. In rare cases, this is possible during medical procedures, for example, circumcisio surgery. With such problems, damage to the cavernous body, the urethra occurs.
- Gunshot wounds. If a bullet hits, not only the urethra and the cavernous body can be damaged, but also the scrotum, as well as all nearby tissues. The pelvic bones are often affected. The wound is accompanied by severe bleeding. Urine can be separated from the wound canal.
- Traumatic amputation. Becomes a consequence of deliberate actions of a mentally unhealthy person, strong animal bites. It is accompanied by massive bleeding and traumatic shock. Urination is impaired. If help is not provided on time, death from blood loss may occur.
- Frostbite. May be the result of hypothermia, which often happens when urinating outdoors in the winter. Alcohol intoxication is a factor that exacerbates the problem. More often frostbite of the extreme raft or body of the penis is observed. Injury is manifested by a discoloration of damaged tissues, a burning sensation, severe itching, tingling, swelling appears. If frostbite was not severe, then its symptoms disappear after a couple of days on their own. In severe cases, tissue necrosis develops, ulcers of a purulent nature form. The process of complete healing can take several months.
- Burn. Appears after hot fluid or chemicals spill onto the penis. In some cases, a burn may be caused by prolonged exposure to the sun. Burns of the first degree are manifested in the form of hyperemia and swelling, the second degree - tissue necrosis, the third degree - cavernous and spongy body necrosis.
Depending on the nature of the damage and its severity, the specialist will develop an adequate therapy program. Self-medication in such situations threatens irreparable health problems.
Only a specialist with sufficient work experience can make the correct diagnosis. Moreover, he uses the following diagnostic methods:
- Visual inspection and questioning of the patient. The symptoms of the problem are clarified, palpation of the damaged organ is performed.
- Ultrasound of the penis. The examination is carried out using ultrasound radiation. On the monitor screen, the specialist will see the condition of the penis and the severity of the damage.
- Cavernosography. A special contrast agent is injected into the cavernous body of the penis. After this, a number of radiographic images are taken. This allows you to assess the nature of the damage and determine its location.
- MRI This technique is considered the most accurate and safe. Using a strong magnetic field, it is possible to obtain images of the damaged organ in various projections.
- Urethrography It is carried out if there is suspicion of damage to the urethra. It is filled with a contrasting substance, after which a radiographic picture is taken. All damage will be clearly visible on the resulting image.
The specialist selects a specific technique based on the equipment of the clinic and the condition of the patient. Without a diagnosis, an accurate diagnosis is impossible.
In order to avoid serious consequences immediately after the injury, the victim should be given first aid. First of all, it is necessary to stop the blood loss.
You can apply a tourniquet or aseptic dressing, apply a cold compress. When a fracture occurs on the penis, a splint is applied.
If signs of traumatic shock appear, the use of painkillers is acceptable.
After the patient has been delivered to the hospital, the following actions are taken:
- Regardless of the type of damage, primary surgical treatment of wounds is performed first.
- All foreign bodies are removed from the organ. Blood loss stops completely.
- After the bite of animals, a course of specialized vaccines is prescribed. With other types of damage, an anti-tetanus injection is given. In the presence of appropriate indications, anti-gangrenous serum is used.
- Treatment of infringement begins with the elimination of the factor that led to the problem.
- After a dislocation, a reduction is performed. After this, several seams are applied, which allow you to fasten the torn ligaments. Cavernous bodies are fixed to the bones of the pelvis.
- In case of a fracture, an opening of the formed hematoma is performed, blood clots are removed. The protein coat and the cavernous body are sutured. Hemostasis and wound drainage are performed.
- If the injury is accompanied by multiple wounds, skin plastic may be needed. For this, tissue taken from the scrotum or abdomen is used.
- Treating thermal damage to the penis is no different from treating burns or frostbite on other parts of the body.
- If there is a rupture of the urethra, the patient is given an epicystostomy - a catheter, through which the urination process is organized. Urethroplasty or other procedures to restore urethra are performed.
- If the amputation of the penis has occurred, then it can be sutured during the first day after the injury. But this is only possible if the torn off part was stored in the cold. Otherwise, reconstructive phalloplasty is performed.
The choice of treatment method will be determined by the nature of the damage. Medical methods of treatment in such situations are used solely as a supplement to the main therapy.
Preventive measures and prognosis
Penis injury can be successfully treated only if timely seek medical attention and compliance with all the rules of first aid. If this is not done, the development of purulent processes, deformation of the penis, impotence, impaired urination are possible.
As a prophylaxis of injuries during sports, it is necessary to use special protective devices. Try not to practice rough sex. Be careful near animals. Do not provoke them to aggression.
Bite and stabbing of the penis
With superficial damage, bleeding is not intense. After the dissection of the wound, the protein membrane is inspected, then rare sutures and a bandage are applied. If it turns out that the protein coat is damaged, it is also necessary to stitch it. When penile damage is combined with an urethral injury, it undergoes surgical correction. When an animal bites, the victim needs a rabies vaccine.
The volume of surgical correction of injured areas should correspond to the nature of the damage.
First Aid Injury
In case of genital injury, you need to do the following:
- apply a sterile dressing on the penis to prevent infection inside (if the injury is open or thermal),
- to stop the bleeding, pull the wound with a tourniquet, and the tourniquet should be applied slightly below the injured area,
- rewind the penis with a scarf or belt,
- treat the wound with a disinfectant (for example, hydrogen peroxide),
- give the victim a drink of any pain medication other than analgin, since thanks to his ability to thin the blood, he will only aggravate the situation and lead to even greater blood loss.
Certain incidents also happen to men, though not affecting, as a rule, the further health of the genital area, but they can cause a lot of pain and inconvenience. The most common is pinching the skin of the penis with zipper pants. In this situation, doctors recommend not trying to open the “jammed” lock, so as not to cause even more torment, but to cut the zipper a little lower than the clamped skin, which will allow it (the zipper) to open itself.
In any case, no matter how trauma (even if insignificant at first glance) does not occur, you should immediately contact professionals, which will help you maintain a normally functioning urogenital system.
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You can read all about pruritus in a member in this article.
Penis Scalp Wounds
Scalp wounds - separation of skin tissue from the underlying fascia. Such damage is most often the result of a man’s clothing getting into some kind of rotating device. In such cases, the skin can come off not only from the victim’s penis, but also from the scrotum and even the pubis. Suturing the edges of the wound and plastic as necessary.
Gunshot damage to the penis
Such injuries are usually not isolated. They are often combined with injuries of the pelvis, urethra, and hips. Gunshot wounds lead to serious consequences. Shards or bullets injure the skin, albumen, cavernous bodies and urethra. Sometimes there is even an organ rupture (partial or complete).
All open lesions of the penis are characterized by a similar clinical picture. Diagnosing such cases is easy. Having stopped the bleeding, the wounds are carefully examined. Usually an examination is enough to determine the exact type of injury.
Treatment of open penis injuries involves immediate surgical treatment of the injured area with a mandatory revision of the bottom of the wound. If the tunica albuginea and cavernous tissue are injured, separate stitches will be required. This will help stop the blood and speed up the reparative processes in the tissues.
In case of an injured urethra, a primary suture is necessary using a special absorbable material (vikril).
It is important to note that uneconomical handling of the tissues of the penis is unacceptable. Only completely non-viable areas should be removed.
With extensive scalped damage, they resort to plastic surgery according to the Reich using skin taken from the scrotum.
In the modern world, the variety of injuries, as well as certain injuries of the main male genital organ, is just amazing. The most common among these injuries are:
- Full tears or partial tears of the frenum of the penis.
- Both cut, so stabbed or bite wounds on the penis.
- The most different degrees and severity of bruises of the penis.
- Subcutaneous ruptures of the cavernous bodies of the penis themselves.
- All kinds of dislocations of the penis.
- And of course the banal penile abuses,
Most often, penile injuries occur directly in the area of the foreskin, the head itself, or the corpora cavernosa, injuries can also be combined with certain damage to the scrotum or other global injuries.
Injuries or traumatic nature of damage to the male penis can be closed or open.
Speaking of closed penile injuries, we note that these are associated with some violation of the integrity of the skin, subcutaneous tissue, or the described lesions may cover part of the cavernous bodies of the penis, where blood usually accumulates during an erection.
In addition, closed injuries of the genital organ are often accompanied by violations in the integrity of the protein shell of the same cavernous bodies. Recall that this shell is a rather dense tissue, with the main function of retaining such cavernous bodies in their strictly defined form.
In cases where there was an effect of a certain traumatic factor on the male penis, during the onset of his erection, the formation of a “fracture” of the cavernous bodies is quite possible, due to a rather sharp bend of the previously erected rather dense penis. Such injuries occur during the implementation of violent, rather gross sexual acts or when the blows are significant in their strength with some heavy objects of a blunt nature directly on the penis.
Closed injuries of the penis include its bruises, in which quite massive hemorrhages can occur directly in the skin of the penis or in its subcutaneous tissue. All this, of course, can be accompanied by significant edema, cyanosis, and in some cases even the blackening of the penis itself.
With the appearance of an internal rupture of the cavernous bodies of the penis itself, hematomas of truly huge sizes can usually appear. Since blood with this injury accumulates directly under the skin of the penis or in its subcutaneous tissue. In this case, the hematoma can spread deep directly into the scrotum, as well as move to the pubis on the hips (meaning from the side of the inner surface of those).
As a rule, open-type penis damage can occur as a result of the negative impact of some pricking or cutting objects, sudden bites of a wide variety of animals (say dogs, foxes, horses, or cows). Again, when applying punctured or cutted lesions (the same knife wounds), it is the cavernous bodies of the penis that are most often damaged, which will always be accompanied by severe bleeding. Of course, with such knife wounds, partial or complete amputations of the genital organ become quite possible.
Next, I want to talk about the most common causes of penis injuries. Probably the most common type of minor damage to the penis can be considered pinching the skin of the penis with a zipper on trousers. Note that, despite the relatively small surfaces of such wounds, they cause quite severe pain. And in order to once again not untidy such a wound during attempts to open the zipper lock, it would be better to just cut the zipper slightly below the skin clamped in it and the zipper will open itself.
One of the most common causes of damage to the penis can be considered excessive friction during intercourse. Similar problems can arise unnecessarily passionate lovers or just very young men who started their sex life. In this case, significant damage to the skin, as well as ruptures of the folds of the foreskin, can be observed.
Men who have a congenital short bridle during active sexual intercourse may experience a rupture or partial tear of the frenum of the penis, which is also accompanied by significant pain and perceptible bleeding.
A somewhat peculiar type of penile injury can be considered an infringement of such that it is observed, for example, when the penis is pulled by a thread, thin wire or cord. As a rule, in children, such injuries can be the result of banal pranks, but for adults - this can be the result of masturbation, or the result of an attempt to maintain an erection.
In especially unsuccessful situations, a man may even encounter the previously mentioned penis fracture, when one doesn’t get into the vagina during aggressive sexual intercourse, with the application of male force, the thigh or partner’s pelvic bones are struck. During a fracture, as a rule, an obvious click is heard, after which the penis itself can acquire a blue or even black tint due to hemorrhage.
There is no specific prevention of penile injuries. However, one of the options for some prevention of penile injuries during sexual intercourse can be considered to be the avoidance of those dangerous positions that can nevertheless become a real cause of an excessively strong penis excess.
Well, in addition, since penis injuries can occur in cases of a strong blow to the woman’s pubic bone or other hard surface, it is advisable to make sexual relations less aggressive and deliberate.
Discussion and reviews (45)
when I fell off my bike, I damaged my penis. from the beginning it was even very blue .. now it still hurts and there is a bump in it in the form of a bruise .. shift to the side .. now I can’t have sex for a long time .. gets up and after 2 minutes falls .. why so. What do we have to do. dislocation has not yet passed .. when he starts to get up he hurts .. I'm afraid to be left without children .. tell me what to do.
First aid for injuries
If the penis is damaged, take the following measures:
in case of open injuries, apply a sterile dressing to the damaged organ to prevent infection from getting inside,
Whatever the injury, immediately contact your nearest medical facility for help in order to maintain the normal functioning of the genitourinary system.