It is well known that the corpus cavernosum of the penis is a very important part of men. A healthy corpus cavernosum means that men have healthy physiological functions. However, in real life, many men experience corpus cavernosum pain or other discomfort. These are bad signals, indicating that men may have problems with their sexual organs. Therefore, it is very necessary to focus on recognizing this problem. The penis is mainly composed of three parallel corpora cavernosa, which are similar in structure. There are two corpora cavernosa, shaped like cones with sharp ends. The two corpora cavernosa are arranged in parallel on both sides of the midline of the human body and are closely connected. Functionally, they are completely a unit. They form the basis of the penis shaft, located on the back and sides of the penis, and occupy most of the volume of the penis. Except for the flat inner side of each corpus cavernosa, their cross-sectional shape is approximately circular. The two corpora cavernosa separate from each other only at the root to form two crura of the corpus cavernosum. After separation, they first swell slightly and then gradually become thinner. They are attached to the pubis, the periosteum of the inferior sciatic ramus and the perineal fascia on each side through a strong fibrous band. Corpus cavernosum rupture is mainly caused by the male erect penis blindly hitting the female vulva. Rupture of the corpus cavernosum of the penis often results in a large amount of subcutaneous blood exudation, causing the penis to become highly swollen, the skin to become purple-red or purple-blue, and severe pain. However, the key for people with penile curvature is to find out the cause so that targeted treatment can be given. Clinically, the most common diseases that cause penile curvature in men are hypospadias and penile induration (or chronic cavernitis), which should be diagnosed and treated. Hypospadias is a congenital malformation, which can sometimes occur for several generations in a family. In mild hypospadias, the urethra opens at the coronal sulcus of the penis, and the penis itself is not curved or slightly curved. It is often ignored by parents in childhood, and it does not affect sexual function when growing up, so no treatment is required. In severe hypospadias, the urethra opens at the junction of the penis and scrotum, and even in the perineum. The missing part of the urethra is replaced by a fibrous band, and the penis is short and flat, with obvious or severe downward curvature, and sexual intercourse is impossible in adulthood. At the same time, because the urethra opening is located at the back, ejaculation is outside the vagina, so there is no fertility, and surgical correction is necessary. The operation is usually divided into two stages. The first stage is best performed at around two years old, mainly to cut the cord to straighten the penis; the second stage is performed six months to one year after the first stage, after the local scar tissue softens, mainly to perform urethroplasty. When the penis is grown up, it is difficult to correct the curvature of the penis. Of course, there are also people in the medical community who advocate completing the two stages of the operation in one go, that is, while cutting the penile cord to straighten the curved penis, use a leather tube to make a tube from the bladder mucosa to replace the defective urethra. Most patients with penile induration are middle-aged people. The main symptoms are hyperplasia of penile connective tissue, one or more hard plaques and cords on the back of the penis. When the penis is erect, it bends upward or to the left and right, and feels slightly painful. If the bend is obvious, it affects sexual life. The cause of this disease is not yet clear, and injury and inflammation may be inducing factors. Surgical removal of the nodules is prone to recurrence, so it is not recommended. The general treatment is to inject cortisone locally at the nodules or cords, and take vitamin E orally at the same time. Penile tissue amine or iodine ion penetration can also be performed with the cooperation of the physical therapy department, but in general, the treatment effect is not ideal. |
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