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Symptoms, diagnosis and causes of penile injury

Symptoms, diagnosis and causes of penile injury

Symptoms, diagnosis and causes of penile injury

Symptoms, diagnosis and causes of penile injury

Penile injury is rare. Very occasionally penile amputation - either self-inflicted or a "Bobbit" type injury will be encountered, and re-suture of the penis can be attempted in a specialised plastic surgical unit. Damage to the erect penis during sexual activity, so-called "fractured penis", is however more common.

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Anatomy, Physiology And Pathology

Most of the bulk of the penis is made up of the erectile tissue - three tubes full of (usually) empty sinusoids and blood vessels. There are two large tubes called the corpora cavernosum, one on each side, and a thinner tube called the corpus spongiosum which surrounds the urethra in the midline dorsally. The erectile tissue is contained by thick coats of fibrous tissue with significant elastic properties - this tissue will normally withstand the very significant pressure that is generated from within caused the increased blood flow during an erection.

During sexual activity the penis, and in particular the corpora, are subjected to significant buckling forces. Normally these forces are resisted, but if the force is excessive, perhaps during vigorous and mistimed intercourse, the corpora will tear or "fracture".

Symptoms And Signs

When the penis fractures there is frequently an audible "crack" heard by both partners. The penis becomes flaccid, painful and bruised.

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