Most often, diseases of the male genital organs are associated with external exposure. At the same time, the head and foreskin suffer. However, there are inflammatory pathologies that cause diseases of the glans penis. We should talk more about the latter: where they come from, what causes the disease, what are the consequences of the lack of therapy and the possibility of prevention.
Causes of inflammatory processes of the head and foreskin
A variety of diseases of the penis, head arise due to a number of influences of the external and internal order, which together increase the risk of developing negative symptoms. Predisposing factors are:
- lack of personal hygiene,
- high secretory activity of the glands of the foreskin,
- reduced immunity
- metabolic disorders, for example, diabetes mellitus,
- infectious process in the urogenital tract,
- long stay in countries with hot climatic conditions,
- injuries, for example, during prolonged manipulations with the head,
- organ bites by parasites, insects,
- genital herpes, the incubation period of which lasts up to 6 days and the signs are hidden,
- inflammatory processes of the prostate gland,
- syphilis, chlamydia, gonorrhea,
- infection under the foreskin.
The pathology can be local and concern only the head, but most often the diseases of the head of the penis are accompanied by inflammation of the foreskin, which explains the characteristic clinical picture of the disease.
Types and forms of diseases
By the forms of pathologies differ:
- Infectious - the reason for which is an infection that enters the patient’s body,
- Circinar - caused by yeast-like spores affecting the outer shell of an organ,
- Herpetic - contagious diseases caused by the herpes virus,
- Traumatic is a consequence of a violation of the integrity of the skin or muscle tissue of an organ,
- Anaerobic - developed by bacteria of the anaerobic type,
- Allergic, appearing as an immune system response,
- Candidiasis - caused by a fungus,
Forms of pathologies can be similar in symptoms and clinical presentation, vary due to occurrence, infectious agent. There are more rare and common diseases of the head of the penis and foreskin of the organ. It should be remembered that most pathologies bypasses men with a circumcised penis - this is due to the lack of accumulation of smegma in the bag, which naturally reduces the level of bacterial accumulation and the risk of developing infectious pathologies.
This is a head disease in men associated with a significant narrowing of the foreskin. Due to this phenomenon, the head of the organ cannot be exposed, which threatens with complete atrophy of the tissues. The development of pathology increases the risk of impaired urine evacuation, and the absence of outflow causes the accumulation of urine in the bag and inflating the end. Gradually, the blood supply to the organ worsens, necrosis develops. Causes of pathology:
- genetic abnormality present at birth of a boy,
- infection or scar tissue resulting from trauma and / or chronic inflammation,
- balanitis - leading to scarring and sealing of the foreskin.
Contacting a doctor should be immediate.
This disease is also called the "Spanish collar." The foreskin is pulled back, and can no longer return to its former place, inflamed and surrounds the head with a tight ring. Reasons for development:
- strong and prolonged erection or sexual activity,
- head damage.
The consequences of forming a tight squeezing ring around the end of the penis are sad: impaired blood flow, swelling, pain, gangrene and amputation.
These are diseases of the glans penis, which during development infect the foreskin (balanoposthitis). The causative agent is most often a fungus of the genus Candida, sexually transmitted or appearing due to lack of personal hygiene. Symptoms look like swelling, redness of the head, cracks appear, foci of erosion, itching develops.
Infectious infection of the tissues of the foreskin occurs quickly, it becomes difficult for the patient to move the flesh to expose the head, the urine excretion process is disrupted, which provokes the further development of pathology.
Important! In young boys and adolescents balanitis / balanoposthitis appears due to a rare change in diapers, lack of intimate hygiene.
Other causes of the appearance of pathology include:
- allergic reactions to substances or contact allergies,
- sexually transmitted diseases (gonorrhea, syphilis, herpes),
- diabetes mellitus - high sugar content of urine is the best breeding ground for bacteria that accumulate under the head.
Advice! Balanitis and balanoposthitis do not threaten men with circumcised foreskin. Bacteria simply have nowhere to accumulate, and caring for a circumcised organ is much easier.
Anomalies and physical damage
Deviations from the norm in the structure and shape of the organ lead to diseases of the head, foreskin. The disease of curvature (anomaly of the corpora cavernosa), the underdevelopment of the urethra - lead to the fact that the trunk of the organ leans toward the location of the anomaly, which provokes the development of the disease.
As for trauma to the penis, a violation of the integrity of the skin is a clear reason for the spread of bacteria, infection. An internal hematoma can also provoke a head disease, as a result of which blood circulation, lymph flow are disturbed, and the urinary organ is damaged.
One of the varieties of pathologies that cause member curvature. A characteristic feature is the formation of plaques, leading to abnormal deformations of the trunk and head of the organ. Plaques look like local areas of seals that cause irritation, swelling and subsequently turn into a hard scar. The scar reduces the elasticity of the entire organ and its end, causes pain. The disease can be either congenital or acquired.
There are no obvious causes of the pathology, however, the disease can occur in:
- acute form - when the inflammation becomes constant and the patient experiences unbearable pain in the head, and during an erection, the trunk bends in an arc,
- mild form - goes away without treatment for 6-18 months, but is exacerbated by the inflammatory period.
Sometimes the pathology develops quickly, lasts a short time and is most often caused by injuries / microtraumas of the penis. But most often Peyronie's disease has a long incubation period and is detected in acute form, requiring immediate treatment. What factors can trigger plaque formation syndrome:
- Vasculitis is the destruction of blood and / or lymph vessels, leading to scarring of tissues.
- Anomalies in the development of connective tissues not only of the phallus, but also of other parts of the body. Thickening or thinning of the connective tissue leads to the formation of seals in separate areas, which causes pain.
- Heredity. Some studies confirm that if the male half of the family has experienced Peyronie's disease, then the risk of pathology in boys increases several times.
This is the name of the erect state of the member, observed for a long time. Sometimes an erection lasts for 6 hours or more without a clear reason for arousal. Pathology is accompanied by pain and has various causes: from nervous overexcitation (stress) to impaired blood flow of the genital organ. Common causes of Priapism:
- Narcotic substances (cocaine),
- Some antidepressant drugs and medicines to lower blood pressure
- Cerebrospinal problems,
- Genital injuries
- Incorrect anesthesia or an allergic reaction
- Injection therapy for the treatment of erectile dysfunction.
Priapism is often the result of blood diseases, in particular leukemia or sickle cell anemia. The disorder leads to severe pain, while a man can not affect the weakening of an erection.
Penile cancer is a fairly rare disease that appears in men with uncontrolled cell division and growth. Perhaps the development of benign tumors into malignant due to the development of infection. Oncology initially looks like a small nodule on the head, with an unpleasant odor and bloody discharge. The development of cancer is aggravated by impaired lymph flow, which leads to an increase in lymph nodes.
The causes of the disease are not fully understood, but there are a number of provoking factors:
- Inflammation of the foreskin - affects uncircumcised patients.
- Human papillomavirus (HPV), which includes more than 100 types of viruses that cause the formation of warts on the head of the penis and pain around them. Some papillomoviruses can also affect the anus, transmitted through sexual contact.
- Smoking is the ingestion of many carcinogens and chemicals that settle in the lungs and provoke the formation of cancerous tumors in various parts of the body.
- Smegma - oily secretions that accumulate under the foreskin and are not washed off due to poor hygiene - a nursery and breeding ground for microbes, viruses, and bacteria. Accumulations of smegma can cause irritation around the glans penis, provoking the development of pathologies.
- Phimosis. The narrowing of the foreskin interferes with the normal circulation of the head, which causes necrosis and leads to cancer of the penis head.
- Treatment of psoriasis and other skin rashes that cause pain in the phallus involves exposure to UV rays and the use of drugs that increase the risk of developing oncology.
- Age. More than 58% of cases of penile head cancer occur in men over 68 years of age.
Obvious symptoms are a signal to go to the attending physician, however, in some cases, cancer develops extremely slowly, which makes it difficult to make a timely diagnosis.
Physical, chemical, other effects on the penis
Diseases of the head are often caused by injury to the stem of the penis, the scrotum. Here are some of the most common:
- Bridle damage is more common in patients with a short bridle. This is a hereditary or congenital anomaly when, during an erection, the bridle interferes with the normal insertion of the penis and is torn. Injury leads to infection, increasing the risk of head disease.
- A “fracture” or “dislocation” of a trunk is a phenomenon that occurs when an organ is excessively exposed. As a result of aggression, a hematoma appears inside the body of the penis, which impedes the flow of blood to the head, which can lead to necrosis. In the practice of urologists, cases of rupture of the internal ligaments and the cavernous body of the phallus are frequent, explaining the cause of the appearance of inflammation on the head.
- Infringement of an organ is a disease that occurs due to the pulling of an erect penis by threads, gums and other improvised means.
All cases of exposure to the phallus should be treated immediately to prevent the development of tissue atrophy and subsequent organ amputation.
Methods of treatment and prevention
A prerequisite for effective treatment is to establish the cause of the disease and eliminate it. Diagnostic tests will be required:
- Urine, blood, urethral swab tests,
- Ultrasound scan
- Smear bacillus,
- Visual examination, palpation,
- A history of the patient.
Based on the results of the tests, a specialist makes a diagnosis and prescribes drug therapy or identifies indications for surgical intervention. Treatment of all pathologies of the penis in men should begin at an early stage. The delay in contacting the doctor leads to the progression of diseases, the appearance of purulent complications. Each pathology requires individual therapy, taking drugs such as:
- Anesthetic ointments, solutions.
Drugs help well: Diflucan, Clotrimazole, washing with a solution of manganese, furatsillina, hydrogen peroxide. We briefly consider treatment options for the most common pathologies:
- Priapism. Emergency medical care is required, since a prolonged erection causes pain in the phallus, which leads to a decrease in erectile function. Treatment: drainage of blood through a needle penetrating the head, taking medications that narrow blood vessels.
- Balanitis (balanoposthitis). Taking antibiotics, antifungal drugs. In severe cases, circumcision of the foreskin will be required.
- Phimosis. Long-term drug therapy is used. Surgical intervention is indicated in extreme cases. This may be the complete removal of the foreskin or the separation of the flesh from the head - a less traumatic option with a short rehabilitation period.
- Paraphimosis Sometimes enough ice is applied to the area of the tumor to reduce swelling. Ineffective measures recommend injection therapy or incision of the foreskin to free the head.
- Cancer of the glans penis. Surgery is considered at any stage of the pathology. It could be:
- wide excision of the area with the tumor,
- the scraping of tumor formations with the subsequent use of electric current to destroy cancer cells,
- cryosurgery - freezing of abnormal cells with their subsequent destruction,
- microsurgery with the removal of cancerous and part of normal tissues,
- exposure to a laser beam to eliminate formations,
- member amputation is an effective method of eliminating cancer with the elimination of all or part of the phallus.
- Peyronie's disease can go away on its own, while doctors offer a wait of up to 24 months. Otherwise, medical or surgical therapy is used. The second option has a high risk of complications, for example, a reduction in organ size. Without surgery, treatment involves the administration of drugs in plaques to soften the seals, reduce pain and correct curvature.
Handling with pathologies of the head and foreskin of the phallus should be done by a urologist, andrologist. Experts will recommend home methods for caring for the head of a member, prescribe the right treatment. When diagnosing a venereal or fungal cause of the disease, sexual contact should be minimized until complete healing.
When to see a doctor:
- Pain does not go away for a long time,
- There are formations on the head, foreskin, causing anxiety,
- An erection lasts more than 3 hours,
- The disease has no obvious cause or is difficult to explain.
Preventive measures of pathologies of the glans penis are quite simple. Men should pay attention to the condition of the body, carefully monitor hygiene, do not overcool and wear underwear in size. Synthetic underwear is one of the reasons for the accumulation of smegma, pinching of the organ, which leads to impaired blood flow, the development of infections. It is extremely important to streamline sexual activity or use condoms, limit the consumption of alcohol and cigarettes. And do not forget about regular examinations by specialists - this will help to identify the disease at the earliest stages and ensure the timely start of treatment.
Periodically, men notice unpleasant changes on the skin of the glans penis and adjacent foreskin. It can be cracks, peeling or small wounds of various shapes and sizes.We will talk about the latest pathology in the article. You will find out why wounds appear, how to treat them, which doctor to contact. You can also watch photos and videos on the topic.
Various kinds of mechanical effects can cause wounds on the glans penis. If in boys the head is hidden by the foreskin and protected from friction, then in men the head is naked and open to various kinds of external influences. Close underwear can provoke the formation of wounds. When walking and moving, the penis rubs against seams and tissue, irritation occurs. In this case, the wounds are irregular in shape and look more like scuffs.
Various drugs and cosmetics can provoke such damage. In this case, we are talking about an allergic reaction. Most often, it arises from the use of lubricants or from residual powder after washing, if the laundry is poorly rinsed. In such a situation, you need to contact an allergist to understand what caused the problem. After elimination of the irritant and appropriate therapy, the wounds will go away on their own.
Increased sweating can also be a factor causing damage to the scalp. In men, sweat glands are located in the inguinal zone. In the heat and during intense physical exertion, the amount of sweat increases. Excessive humidity causes maceration of the skin, erosion appears (areas of damage). To avoid wounds, do not wear tight underwear made of synthetic materials.
Wounds may appear during sex or masturbation. In this situation, due to increased friction of the penis in the woman’s vagina or in contact with the hand, the surface of the scalp is irritated. Normally, in men, the body is covered with glands that release lubricant (smegma), but it is not enough for safe sexual intercourse. To avoid skin damage - use special greases.
How do wounds appear in diseases
In addition to the above reasons, wounds appear on the skin of the penis and foreskin in various diseases of an infectious and non-infectious nature. For example, one of the symptoms of diabetes in men is a violation of the integrity of the skin on the genitals. We will tell you which diseases lead to the appearance of the problem and how to deal with it in each case.
Herpes and its manifestations
In this case, we are talking about herpes of the first and second type, sexually transmitted. Therefore, wounds on the head and foreskin appear in men who have an active sex life and neglect contraception. A feature of this disease is a long incubation period. Therefore, the appearance of wounds becomes a surprise for a man and it is not always possible to establish a relationship with the recent sexual intercourse. To determine herpes, you need a set of diagnostic measures. You won’t be able to do this on your own.
Symptoms of herpes type 1 and 2:
- itching and burning in the head area,
- skin redness
- the appearance of a rash (vesicles filled with fluid).
After a while, the bubbles burst, and erosion sections having an irregularly-rounded shape remain in their place. They are perceived by men as wounds on the glans penis and foreskin. In the primary disease, the symptoms are more pronounced. With relapse, less noticeable, often there is no burning sensation.
You can prescribe treatment only after receiving the results of the diagnosis. The doctor needs to understand what caused the rash, what type the pathogen belongs to. It is pointless to treat various wounds with ointments, not knowing their origin.
Candidiasis as a cause of wounds
Candidiasis, aka thrush, is the most common fungal disease that causes damage to the mucous membrane and skin of the penis. Most often, candidiasis is sexually transmitted, but contact household, in contact with personal hygiene items, is not excluded.
In addition to wounds, thrush in men has other symptoms:
- burning on the head and in the urethra,
- the appearance of white plaque,
- difficult and painful urination during infection with the fungus of the urethra mucosa,
- in severe form, there may be signs of intoxication: nausea, vomiting, high fever.
Candidiasis is complicated by the fact that the fungus penetrates up the urethra and provokes other diseases, including fungal prostatitis. Therefore, if there are wounds on the head and foreskin and there is at least one of the symptoms listed above, consult a doctor immediately. Self-medication and traditional medicine methods will not help here.
Complications of diabetes
With diabetes, blood sugar rises. This leads to a violation of the integrity of blood vessels, including capillaries. There are many blood vessels on the male penis, especially in the head area. Their destruction leads to the formation of wounds, often of irregular shape or similar to cracks.
Wound treatment for this disease involves treatment with antiseptic solutions and ointments. Often the wounds contain pus, which makes healing more difficult. To combat this, doctors recommend treating damaged skin with Levomikol.
What to do if wounds appear?
First of all, especially if you don’t know the reasons, consult your doctor for an accurate diagnosis. Treatment of wounds will be effective only if the root cause, that is, a disease or an irritating factor, is eliminated.
For wounds caused by the diseases described above, the treatment is complex. The doctor prescribes antibiotics or antifungal drugs, general strengthening drugs. A good effect is given to washing the wounds with infusion of chamomile or another plant that has a wound healing and anti-inflammatory property.
As for ointments - before use, you need to be sure that there is no individual intolerance to the active substances. Otherwise, you will aggravate the situation by adding an allergic reaction to existing wounds. Doctors prescribe Levomycol, creams containing methyluracil, synthomycin or levomycetin ointment.
Follow personal intimate hygiene, avoid casual and unprotected sexual intercourse, lead a healthy lifestyle, do not wear tight underwear. Then the risk of wounds on the glans penis and foreskin will be minimized. If such unpleasant symptoms occur, do not delay the visit to the urologist.
Penis injury - Damage to the skin, spongy and cavernous bodies, subcutaneous tissue, fascia, muscles and the penis of the penis, various in origin and severity. Symptoms of penile injuries depend on the type of damage and may include swelling, pain, bleeding, hematoma, hematuria, and urination problems. Penile injuries are diagnosed on the basis of anamnesis, examination, palpation, and ultrasound. First aid for penile injuries consists in stopping bleeding, PHO wounds, removing foreign bodies, further tactics are determined by the type and severity of the damage.
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.
First of all, penile lesions are divided into closed (80%) and open (20%). Closed (blunt) injuries include bruises, injuries, dislocations and fractures of the penis. Open (penetrating) lesions include superficial, scalped, bitten, gunshot, stab wounds of the penis. In addition, in traumatology, patients with burns, frostbite, and traumatic amputation of the penis (penectomy) are often found. Penile injuries can be either isolated or combined with damage to the scrotum, bones and pelvic organs.
Depending on the severity, the European Urological Association identifies the following types of penile injuries:
- I degree - damage to the integumentary tissues, bruise of the penis
- II degree - damage to the fascia of Beech surrounding the spongy and cavernous bodies
- III degree - tissue ruptures (glans penis, urethra, cavernous body) with a defect length of less than 2 cm
- IV degree - rupture of the urethra, cavernous body with a defect length of more than 2 cm, partial amputation of the penis
- V degree - complete traumatic amputation of the penis.
Bruises are the most common type of penile injury. Most often, bruises occur during direct bumps during sports and fights, cycling, etc. Light bruises of the penis are accompanied by painful sensations that subside within 10-15 minutes after the impact. For more severe injuries of the penis, accompanied by a tear of the white membrane, increased pain, swelling of the penis, the formation of a subcutaneous hematoma, which gives the penis a blue-purple color, difficulty walking, impaired urination, are characteristic. Strong targeted blows on the penis can lead to a fracture of the corpora cavernosa and the development of internal bleeding. In this case, up to 0.5 l of blood can accumulate under the skin of the penis in 15 minutes, which makes the penis huge and blue-black. Blood accumulating in the subcutaneous tissue extends to the pubis, scrotum and inner thigh. With severe trauma to the penis and severe blood loss, traumatic shock may develop.
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
Superficial wounds of the penis include damage resulting from excessive friction, tears and tears of the short frenum of the foreskin. Such injuries may be accompanied by external bleeding of varying intensity, scarring. The cause of the formation of scalped wounds of the penis is getting the penis into various kinds of moving mechanisms. In this case, extensive wound defects of the skin are formed, often passing to the scrotum, intense pain, bleeding, and traumatic shock occur.
The bitten wounds of the penis are the result of aggression of domestic animals or deliberate actions of the sexual partner. Despite the small area of damage and minor bleeding, penis bites are usually always infected, so such wounds tend to last for a long time. Animal bites carry the risk of rabies.
Stab wounds of the penis arise as a result of injuring with piercing and cutting objects (knife, nail, awl, etc.), less often - due to iatrogenic causes (improper operation of circumcision). Penile injuries with such an application mechanism are accompanied by damage to the corpus cavernosum, the hanging section of the urethra, sometimes full or partial penectomy. With gunshot wounds of the penis, in addition to the urethra and cavernous bodies, the scrotum, soft tissues, bones, and pelvic organs are often damaged. The leading symptoms of such injuries of the penis are bleeding, often urine from the wound passage, the presence of foreign bodies in the wound.
The cause of traumatic amputation of the penis can be violent criminal acts (injuries, bites) or self-mutilation associated with an exacerbation of mental illness. Partial and complete penectomy is accompanied by massive bleeding, shock, and urinary impairment.
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.
Any injury to the penis requires immediate medical attention, where the victim must be examined by a surgeon, traumatologist or urologist. Preliminary diagnosis of the type of damage is based on the history, examination and palpation of the penis. In the future, to clarify the severity of the injury, ultrasound of the penis, ultrasound scan, cavernosography, MRI can be recommended. Since penile injuries often occur with damage to the urethra, urethroscopy or urethrography may be required to rule out damage to the urethra.
At the prehospital stage, victims with penile injuries need competent emergency care. As a priority, it is necessary to take measures to temporarily stop bleeding (apply ice, compressing an aseptic dressing on the penis, tourniquet), perform splinting of the penis when it is fractured, and start anti-shock measures (adequate pain relief, infusion therapy). In a hospital, PHO of wounds (including a burn surface, a gunshot wound, an infected wound) is performed, removal of foreign bodies, drainage of post-traumatic hematomas, revision of the wound and the final stop of bleeding. Patients with bitten wounds are required to receive rabies vaccination, with other wounds - anti-tetanus is administered, according to indications - anti-gangrenous serum.
Treatment for penile infringement involves the removal of constricting objects. When the penis is dislocated, it is openly reduced with suturing the torn ligaments and fixing the cavernous bodies to the pelvic bones. In case of a penile fracture, an operative opening of the hematoma is carried out with the removal of blood clots, hemostasis, suturing of the defects of the protein coat and cavernous bodies, drainage of the wound. Penile frenulum ruptures require frenuloplasty. The elimination of extensive wound defects is carried out using methods of skin grafting, for which the skin of the scrotum (Reich operation), pubic region, abdomen, free skin grafts are used. Treatment of thermal injuries of the penis is carried out according to the general principles of the treatment of burns and frostbite.
If the urethra is damaged, an epicystostomy is applied. Restoration of the continuity of the urethra is carried out by performing anastomotic urethroplasty or other types of urethral plasty. The penis amputated by negligence must be maintained, because during the first 24 hours after the injury, it may be microsurgically sutured into the stump. To maintain the viability of the organ, it is washed and stored in a sterile container filled with sodium lactate solution on ice. If reimplantation is not possible, reconstructive phalloplasty is performed.
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, shortening and deformation 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.