What methods are used to repair the corpus cavernosum of the glans?

Generally speaking, because the male penis is in the underwear, unless it is directly injured, there will be no problem, except for some reproductive system diseases. However, in real life, some couples may be too intense during sex, which may cause damage to the male penis. So the question is, what are the specific methods for repairing the corpus cavernosum of the glans penis?

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.