Most urologists first place a catheter in the bladder at the time of injury and wait for 3 to 6 months. Unfortunately, it means that this problem can't be fixed right away. This is because it's almost always seen with other severe injuries. The treatment of a posterior urethral injury is very complicated. If serious urethral trauma is seen on the x-ray, a tube is used to carry urine away from the injured area to keep it from leaking. If the x-ray still shows leaks, the catheter is left in longer. If it has healed, the catheter can be taken out in the doctor's office. After that time, an x-ray is taken to see if the injury has healed. The catheter is often left in place for 14 to 21 days. This keeps urine from touching the urethra so it can mend. Minor of these injuries can be treated with a catheter through the urethra into the bladder. Many cases of anterior urethral injury need to be fixed right away with surgery. How well the penis will work after the surgery depends on how badly it was damaged.The treatment for urethral trauma depends on where and how bad the injury is. It may be possible to reattach the penis even after 16 hours.įor massive injuries to the penis, urologists who are skilled at this surgery can often rebuild the penis. If the penis can be reattached, the lower temperature of the slush will increase the chances of success. Do not place any amputated organ into ice water, as the water and direct contact with ice is harmful to tissue. The plastic bag should then be put into a second bag or cooler with an ice water slush. For Serious Traumaįor the rare cases where part of the penis has been accidentally cut off, the amputated part should be wrapped in gauze soaked in sterile salt solution and placed in a plastic bag. Your surgeon will want to follow up with an office visit to check on healing. You may be given antibiotics and pain meds. You may go home with or without the catheter. With the whole penis bandaged, you may stay in the hospital for 1 or 2 days. A catheter (a thin tube) may be placed through the urethra into the bladder to drain urine and allow the penis to heal. Any tears are repaired before the skin is sewn back together. The surgeon will then remove blood clots to help find any tears in the tunica albuginea. The most common surgery is to make a cut around the shaft near the head of the penis and pull back the skin to the base to check the inner surface. Surgery is done under anesthesia so no pain is felt. This treatment has lower rates of erectile dysfunction, and penile scarring and curvature. The treatment for a penis “fractured” during sex is most often surgery. The urethra and/or penis may also be damaged if objects are put into the tip of the penis. These items can cause lasting damage to the penis if the blood flow is blocked for too long. These objects can become stuck if the penis swells further. Rings or other stiff objects (such as plastic or metal) should never be placed around the penis. Placing a rubber tube or other constricting device around the base of the penis that is too tight or left on for too long can also injure the penis. Blood at the tip of the penis or in the urine is a sign of a serious injury to the urethra. Blood can build up under the skin of the penis (hematoma), and may become swollen and badly bruised. The pain may last for a short time or it may continue. Urologists often call this injury a penile "fracture," even though there is no bone in the penis. The pain and sound are made by a tear in the tunica albuginea, which is stretched tightly during an erection. This is often followed by a rapid loss of the erection. You may feel a sharp pain in the penis and maybe hear a "popping" sound. The penis may then bend sharply despite the erection. During forceful thrusting, the erect penis may slip out of the vagina and strike the partner instead of going back into the vagina. During an erection, blood flow in the arteries makes the penis firm. Injury to the penis is rare when it isn't erect because it is flexible. The penis is hurt much less often than other parts of the body.
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