Penis fracture is manifested by tissue injury and swelling due to trauma in the penile shaft. This injury occurs in the tunica albuginea, which surrounds the vascular spaces called the corpous cavernosum, which provides the erection mechanism.
Usually, a cracking sound is heard during the event and the erect (hardened) penis suddenly turns into a detumescent (down) state. Significant swelling and hematoma (sign of bleeding, bruising) occur in the penis. Sometimes there may be a lateralization towards one side.
This bleeding, which manifests itself with bruising, usually spreads to the entire penis shaft, and if the lower layers of the penis are damaged in the BUCK's FACIAL, the bruising also spreads to the abdominal wall. Penile fracture should be differentiated from mild penile trauma in which the tunica albuginea is not damaged.
If there are doubts in penile fracture diagnosis, which is usually diagnosed by history and physical examination, imaging methods such as cavernosography, ultrasonography and MRI can be used. The way the event occurred, its time, whether there was loss of erection during the event, and physical examination findings are very important. It mostly occurs during sexual intercourse.
When penile fracture is detected, the tissue named tunica albuginea mentioned above and damaged by trauma should be repaired immediately. Thus, it is aimed to protect the erectile function by providing the least scar tissue damage.
Scientific researches and reviews have concluded that performing this operation in the first 24 hours of the event is essential for the preservation of sexual functions. Even in delayed cases, the operation should not be avoided.
In this surgery, the most suitable cosmetic appearance is aimed by using the previously applied circumcision incision, if any. Patients are usually discharged one day later.
All these side effects can be seen after penile fracture, but they are much more common in patients who do not have surgery or in delayed operations. In this surgery, the damaged tunica albuginea tissue is sutured end-to-end, resulting in less scar tissue healing and less potential side effects.
In conclusion, when this happens to you, I recommend you to consult a urologist without delay. This trauma is a urological emergency and is seen much more than is thought. Because of this event, our patients' embarrassment is out of place, and penile fracture is a very natural health problem like other diseases.
Note: The page contents are for informational purposes only and a doctor's application is required for your diagnosis and treatment.
I wish you healthy days.
Dr. Arif Demirbaş