The damage to the cavernous body cells is actually the damage to the penis, which is mainly composed of the cavernous body. The importance of the penis determines that once this part is injured, it will definitely have a great impact on sexual ability. Therefore, what medicine to take for the damage of the cavernous body cells is a problem that many men are concerned about. The specific treatment method for the rupture of the cavernous body of the penis is related to the patient's condition, and medicine may not necessarily solve the problem. treatment 1.Surgery In recent years, early surgical treatment is advocated. Surgery can be performed under local anesthesia, spinal anesthesia or epidural anesthesia. (1) Surgical treatment without urethral injury: A local incision, a circular incision, or a penoscrotal incision is performed. After finding the ruptured site, the hematoma is completely removed and the ruptured tunica albuginea is sutured with absorbable sutures. For recurrent cases, the tunica albuginea needs to be sutured with non-absorbable sutures. A pressure bandage is routinely applied after the operation. (2) Surgical treatment of combined urethral injury: Choose penile circular incision, remove blood swelling, explore the penile corpus cavernosum and urethral corpus cavernosum, find the broken and damaged parts, and repair the ruptured tunica albuginea and urethral corpus cavernosum. Place a urinary catheter. Apply pressure bandage to the penis for 2-3 days. Preventive use of antibiotics, estrogen, sedatives, etc. after surgery. 2. Conservative treatment Conservative treatment is suitable for patients with small tunica albuginea fissures and no penis curvature. The main measures include local cold compress, pressure bandage, hemostasis, anti-inflammatory, thrombolysis, anti-androgen erection prevention, etc., and antibiotics can be used preventively. However, after conservative treatment, hematoma organization is easy to form induration, which may affect future erectile function. Prognosis As long as penile fracture is treated in time, the prognosis is generally good, but the following complications may occur later: such as erectile dysfunction (ED), penile curvature deformity, painful penile erection, sexual intercourse pain, pseudodiverticulum, penile artery aneurysm, high-flow ectopic penile erection, lymphedema, urethral stenosis, penile arteriovenous fistula, corpus cavernosum-urethral fistula, penile nodules and recurrence. Prevention Strengthen sex education, do not bend the penis hard during masturbation, and avoid excessive movements during sexual intercourse. Patients with phimosis should undergo surgery as soon as possible. Sexual intercourse is prohibited within 6 weeks after penis surgery. |
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