If a man's penis is injured or fractured, it is important to take the right approach and deal with it in a timely manner, otherwise it will affect his sexual and reproductive abilities. If the penis is fractured, surgery must be performed immediately, and if the penis is dislocated, the wound must be cleaned and the bleeding stopped as soon as possible. 1. Penile fracture: surgery should be performed immediately. Otherwise, the penis will be deformed due to hematoma and scar contraction, leading to erectile dysfunction. During surgery, a circular incision is made along the skin of the coronal sulcus of the penis, and the skin is pushed toward the root of the penis like removing a sleeve, the hematoma is removed, the ruptured tunica albuginea of the penis is exposed, and repaired. 2. Penile dislocation: Debridement, hemostasis, and hemostasis should be performed as soon as possible, and the penis should be restored and fixed in its original normal position. A more convenient method is to insert a balloon catheter and then pull and fix it. 3. Penile skin avulsion: The blood supply of the penis and scrotal skin is usually good. After thorough debridement and re-suturing, the chance of survival is higher. Otherwise, skin grafting can be performed. However, the penis is not suitable for medium-thickness skin grafting. It is difficult for it to survive and affects penile erection and sexual intercourse. Transfer flaps or full-thickness skin grafting can be used. The stripped penis can also be buried under the scrotal skin, and the glans is led out through a cut in the scrotal skin. Secondary reduction and plastic surgery can be performed later. 4. Penile stranguria: Apply lubricating oil to the local area and then hold and apply pressure to the penis. Puncture the corpus cavernosum to suck out the blood clots, apply a high permeability gauze to the local area and apply pressure to promote the disappearance of edema and remove the entrapment. Otherwise, try to saw or smash the ring immediately. |
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