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Penile fracture - causes and therapy


Penile rupture

The penile fracture (penile fracture) is actually not a fracture at all. The correct expression for this is penile rupture, since the penis is not made of bone, but is a erectile tissue. A rupture is a tear and in the present clinical picture the coarse, fibrous connective tissue layer (tunica albuginea) that surrounds the erectile tissue tears. As with a "real" break, this becomes apparent through a crack. The penile fracture is extremely painful and requires immediate medical treatment.

Causes

The causes of a penile fracture, or a penile rupture, are a violent kinking or excessive compression of the penis. This can happen (but extremely rarely) in an erect state during intercourse in connection with positions in which the penis is nodded too much. Another cause is masturbation with unusual practices, such as using tightly constricting ring-shaped utensils. Overuse is just as much a cause as turning on the stomach during an erection during the night while sleeping.

Symptoms

Those affected hear a loud crack and feel a sharp pain. The penis swells, is crooked and turns blue. The color resembles an eggplant. The symptoms can spread even further - the testicles, urethra, epididymis or spermatic cord may also be affected. If the urethra is injured, blood comes out of it. The penis can swell up to three times its circumference. The pain is very severe.

First aid

A broken penis belongs immediately in the emergency room. Until then, the penis should be pressed firmly and cooled. It is best to use a soft cool pack, wrapped in a cloth. In an emergency, a towel dipped in cold water is sufficient. The cooling relieves the pain somewhat and counteracts the swelling.

Pain relievers with blood thinning effects, such as aspirin, should not be taken. This could only widen the bruise.

In the emergency room

Rapid treatment in the emergency room is necessary. The broken penis must be treated as soon as possible. In most cases, a precise eye diagnosis and the description of the patient are sufficient to determine a penile rupture. In some cases, however, to confirm the diagnosis, imaging procedures such as X-ray examinations with contrast media or MRI (magnetic resonance imaging) are carried out. An x-ray contrast scan of the urethra may also be necessary. It can be used to determine the exact extent of the injury.

A penile fracture is usually treated surgically. The tear on the membrane of the erectile tissue is sewn. If the urethra is also affected, this rupture is also closed. If other injuries have occurred along with the broken penis, these will be treated during the operation. A drainage is placed so that the wound secretion can drain off. A sterile dressing is put on. If the urethra is injured, a urinary catheter is needed to help the wound heal better. The patient is given pain-relieving medication and an antibiotic.

Complications / consequences

In the event of a penile fracture, early and late consequences are distinguished. The early consequences that can arise immediately after the injury include deformity of the penis with lateral bending, bleeding, blood in the urine, infection of the erectile tissue and problems with urination and urinary retention.

The long-term consequences are narrowing or bulging of the urethra, permanent inclination of the penis to one side, painful erection and erectile dysfunction up to erectile dysfunction (impotence).

If a broken penis is treated quickly, the likelihood of further consequences is not very high. Complications such as erectile dysfunction are very rare.

Naturopathic emergency means

As already mentioned, the suspicion of a broken penis should go into medical hands as soon as possible. However, some relief can already be found on the way there with the appropriate naturopathic remedies.

Arnica is a remedy that is the main remedy of choice for every trauma and injury and therefore belongs in every medicine cabinet. Arnica relieves pain, has a blood-soothing effect and ensures faster healing. The hematoma also heals faster if arnica is taken immediately after the injury. For "emergency use", the agent is best administered in a higher potency, for example in D30. Five globules immediately after the event and another five minutes later.

Apis is the suitable homeopathic remedy for the swelling, also in a higher potency. Those who have neither arnica nor apis at home can also use Schüssler salts. The No. 3 Ferrum phosphoricum can be given in place of the arnica. The number 3 is administered several times in succession. The counterpart to Apis is the No. 8 sodium chloratum for the Schüssler salts. Here too, repeated intake is important.

After the operation, arnica help with general healing and pain relief and staphis agria for healing the suture. If you have poor wound healing, you can also take Bellis perennis (daisies) in the form of drops or as globules. Zinc and vitamin C should not be missing in the aftercare. (sw)

Author and source information

This text corresponds to the requirements of the medical literature, medical guidelines and current studies and has been checked by medical doctors.

Susanne Waschke, Barbara Schindewolf-Lensch

Swell:

  • Amboss GmbH: Penis rupture (retrieval: August 13, 2019), amboss.com
  • Dr. med. Dirk Manski: Penile fracture: erectile tissue rupture or broken penis (accessed: August 13, 2019), urologielehrbuch.de
  • Kurkar, Adel / Elderwy, Ahmad A. / Orabi, Elderwy: False fracture of the penis: Different pathology but similar clinical presentation and management, Urology Annals, 2014, urologyannals.com
  • Mayo Clinic: Is it possible to fracture your penis? (Accessed: 13.08.2019), mayoclinic.org
  • Swanson, Daniel E.W. / Polackwich, A. Scott / Helfand, Brian T. / u.a .: Penile Fracture: Outcomes of Early Surgical Intervention, Urology, Volume 84, Issue 5, 2014, ncbi.nlm.nih.gov

ICD codes for this disease: S31, S39ICD codes are internationally valid encodings for medical diagnoses. You can find e.g. in doctor's letters or on disability certificates.


Video: Penile fracture on ultrasound (January 2022).