![]() Examples include unrecognized urethral injuries that were not repaired leading to urethral strictures or injuries that were not repaired with an excellent result. However, we have seen over the years a number of patients with significant complications of penile fracture treatment. In most cases, the surgery is successful. The torn is then put back together with absorbable suture, and then the skin is sutured back together. This is a circular incision in the penile skin, allowing the skin to be pulled back (called de-gloving) to expose the torn tunica albuginia. The Urologist will take the patient to the operating room, and under general anesthesia, will make an incision in the skin, often what is called a circumcising incision. The recommended treatment is usually surgery which is done on an emergency basis. This is almost always a General Urologist who is not exclusively specialized in penile-urethral surgery. When that happens, the Emergency Room physician will call the “Urologist On-Call”. It is not uncommon for men who sustain a penile fracture to go to their local Emergency Room. In some cases, there can be an associated injuries to the urethra. However, we can treat both erecile dysfunction and penile curvature.Ī fracture to the penis can be a traumatic event, and an acute penile fracture is considered a Urological emergency. Once a penile fracture has healed, it is too late to do surgery to repair the penile fracture. However, that healing was where the open defect filled in with scar tissue, and this then led to later problems. ![]() The problem is that at that point, the fracture is completely healed. The many of our patients with penile curvature and/or erectile dysfunction and a history of a buckling injury during intercourse that was never treated, seek surgery to fix the penile fracture. The reason men with penile fracture benefit from penile fracture repair is so that the tear will heal with a better scar under the skin and that will help prevent the development of penile curvature and/or erectile dysfunction. However, if he does not get stitches, it will still heal, but it will head with a much wider harder scar. When that happens, the laceration heals with a scar, but that scar is generally very small ,and in some cases, not all that noticeable. When a man gets a cut to his face, if it is a major laceration, he will generally go to the emergency room and get stitches to bring the skin back together. We are often contacted by men who report what may have been a penile fracture in the past, and that they never sought medical care for penile fracture surgical repair, or they went to a doctor who mistakenly did not recommend treatment of the penis fracture. The loss of the erection is due to blood exiting the tunica albuginea and accumulating under the skin, which can also lead to swelling of the penis. When the fracture of the penis is severe and acute, the patient will often hear a “popping sound” and an immediate loss of the erection. The tear usually occurs because of buckling trauma to an erect penis during intercourse with a missed thrust. When the penis is erect, the tunica albuginea can be torn when there is bending or bucking. However, if he were to do that forcefully with a fully erect penis, that would be expected to cause pain and damage. If a man with a flaccid non-erect penis, were to bend his penis 90 degrees, this would not be expected to cause any pain or damage. Under the skin of the penis, there is a structure not as hard as bone, but it is somewhat firm during an erection, when the penis fills with blood, it is very firm. Under the skin of your fingers, you can feel something firm and that is bone. The “tunica albuginea” is the structure within the penis that fills with blood during an erection, and this penis anatomy section provides an illustration of the structure. In most cases, a penile fracture is caused by a mild or significant tear to the tunica albuginea within the penis. Closest Hotels to UC Irvine Medical Center.Peyronie’s Disease Post-Op Instructions. ![]() Urethral Reconstruction Post-Op Instructions.Urethral Stricture after Prostate Surgery or Radiation.Our Erectile Dysfunction Approach & Results.Complex And Re-Do Penile Implant Surgery.Medical Therapy for Erectile Dysfunction.Erectile Dysfunction Diagnostic Evaluation.Causes & Symptoms of Erectile Dysfunction.Our Approach & Results with Peyronie’s Disease.Symptoms & Diagnosis of Peyronie’s Disease.Lichen Sclerosus – Balanitis Xerotica Obliterans – BXO.Urethral Stricture Diagnostic Evaluation.Causes & Symptoms of Urethral Strictures. ![]()
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