The fracture of the penis occurs when the erect penis is strongly pressed in the wrong way, forcing the organ to bend in half. This usually happens when the partner is on the man and the penis escapes from the vagina, causing her to feel abruptly on the partner's organ, causing the rupture of the cavernous bodies of the penis, where the fracture occurs.
Another rarer cause is to bend the erect penis with your hand in an attempt to stop the erection, such as when a child enters the room, for example. In general, treatment is done with surgery and full recovery takes about 4 to 6 weeks.
Signs of fracture in the penis
The fracture in the penis is easy to be identified, because it is possible to hear the sound of a crack when the organ tissues rupture.
Then, immediately afterwards there is severe pain, loss of erection, bluish or black bruises and great swelling, which may also increase the size of the scrotum. If the lesion also affects the urethra, it is possible to notice blood when urinating.
What to do
As soon as you feel the signs of penile fracture, you should go to the emergency room for help. The fracture is confirmed by clinical examination, ultrasound, cavernosography, and when there is bleeding in the urine with suspected trauma to the urethra, urethrocystography can also be performed.
In some cases, it may also be necessary to perform a cystoscopy, a procedure in which a small tube with a camera is placed in the urethra, the channel through which the urine comes out, to assess whether it has also been injured.
How to treat
After diagnosing the fracture of the penis and identifying the location of the lesion, it is usually necessary to have surgery to repair the broken tissues, which must be done within 6 hours after the fracture, because the sooner it is done, the better the recovery and the less chance of sequelae, such as erectile dysfunction or penile tortuosity. In general, the length of stay is 2 to 3 days.
Treatment only with anti-inflammatory drugs and antibiotics is only done when the fracture is very small, without injury to the urethra, with few bruises and swelling. In addition, during recovery it is necessary to put ice on the area, take medications that inhibit involuntary nighttime erection and not have intimate contact for about 4 to 6 weeks.
Complications
Complications of the fracture can be the presence of curvature in the erect penis and erectile dysfunction, because the scar tissue prevents the penis from being erect normally.
However, these complications usually only happen when treatment at the hospital is not done or when the man takes too long to seek medical help.
See the causes and treatment of male sexual impotence.
