Patients with penile sclerosis are generally adults. Penile sclerosis occurs in the loose connective tissue between the corpus cavernosum and the tunica albuginea of the penis. Early symptoms are similar to vasculitis, invading the corpus cavernosum diaphragm, close to the middle of the corpus cavernosum and the deep muscle fascia, and most of them are located between the bones of the male genitals. Under the microscope, connective tissue hyperplasia can be seen, from which fibroblasts and fibroblasts can be seen. There are many causes of penile sclerosis, which are widely believed to be caused by aortic atherosclerosis, hypertension, trauma, genetic factors, alcoholism, diabetes, etc., but there is no authoritative conclusion at this stage. What are the symptoms of penile sclerosis? Clinical manifestations Most patients seek medical attention because of lumps, pain, painful erections, and bending of the penis toward the affected limb when erected, which may affect sexual intercourse. The lump is palpated with clear boundaries, oval or cord-shaped, and is often located near the center line of the bone, and may be located distally or laterally in rare cases. Some patients have difficulty urinating. This disease is self-limiting. Peyronie's disease is an abnormal erection of the genitals. Normally, the penis is flaccid. When sexually excited, the corpus cavernosum is filled with blood and the penis will stand up like the bow of a yacht. Due to the differences in the distribution of the blood sinuses in the corpus cavernosum and the degree of blood swelling, the erect penis will also show various angles, the most common of which is 70°-120° of hardness. Sometimes, due to the sensitivity of the peripheral nerves of the glans penis, the penis will be extremely hard but the glans penis will be too soft, or the penis will bend to the side or to the internal oblique muscle of the penis. However, if it does not cause any impact on sexual life, a slight bend and hardness is also normal. However, there are some cases of abnormal penile erection that should be a cause of concern. Some men may have abnormal erections of their penis that can last for hours, days, or even months, even without sexual desire. Because of the blockage of the arteries in the penis and the obstruction of venous return, the penis may become abnormally erect, causing pain to the patient. If this pathological condition recurs over a long period of time, it will inevitably cause the fibrosis of the corpus cavernosum and eventually lead to loss of erectile function. In addition, there is also a type of penile sclerosis that affects middle-aged and elderly men (most common in 40-60 years old), which also prevents erection and causes pain during erection. At this time, the penis is generally free of any symptoms when it is relaxed, but the loose connective tissue between the corpus cavernosum and the tunica albuginea of the penis is very likely to produce one or more fibrous lumps, causing the penis to bend dorsally or laterally when erect, which will affect the normal development of sexual life in more serious cases. In addition, symptoms such as epispadias, hypospadias, and short frenulum of the penis can all cause penile curvature, significant laterality, or bending of the penis toward the internal oblique muscle, which can all affect sexual life. The above symptoms should be treated promptly and should not be neglected. There are also some unique erectile forms in clinical medicine. For example, bipenis is a rare male reproductive organ abnormality. It is estimated that there is only one case of bipenis in every 5.5 million births. In typical bipenis patients, only one penis has erectile function, and the penis often shows upward bulging when erect. In addition, there is also a hidden penis: the penis is small and poorly developed, and the fat around the penis is relatively thick, which tightly surrounds the penis. The penis is hidden and invisible, and it will be painful to erect, but it is impossible to have sex. This should also cause vigilance. |
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