Fracture of the Penis
If the erect penis is subjected to
heavy pressure, it bends till it breaks. The bent causes rupture of
the convex aspect of the wall of the
corpus cavernosum with
burst of blood to the outside under the skin leading to a swelling.
This situation usually requires
immediate surgical intervention whereby the collected blood is
evacuated and the tear is sutured.
If properly repaired, fracture penis
will not result in impotence.
the author of this website has designed a special technique for
increasing the accuracy and decreasing the time necessary for
repairing fractured penis. The technique is internationally
published and applied:
Methylene Blue-Guided Repair of
J Sex Med 2006;3:349–354
Priapism is sustained erection that
does not end. It usually results from using medications that induce
erection without medical supervision, especially
It also results from certain diseases such as sickle cell anemia
and some tumors.
Since erection occurs by filling up
the penis with blood, priapism means that this blood is retained
inside the penis for days, which results in clotting of blood inside
the penis. The blood clot turns into fibrous tissue (inelastic firm
tissue) that prevents erection and causes shortening and deformity
of the penis.
Therefore, it is necessary to undo
priapism urgently, by aspirating blood out of the penis and
injecting certain medications, and if this fails, a shunt operation
is performed. It is preferable to treat priapism within 6 hours of
its onset if erection is to be preserved.
If treatment is delayed for more than
one day, it is usually necessary to insert a
penile prosthesis since normal
erection will not be restored. The prosthesis should be implanted as
soon as possible since the ripening of fibrous tissue makes
insertion of the prosthesis very difficult.
Cases where extreme fibrosis has
developed and prosthesis insertion faces extreme difficulty can
benefit from a unique surgical technique designed by
Dr.Shaeer, where an endoscope is
inserted inside the penis to remove the fibrous tissue. read more
about prosthesis surgery and the technique by Dr.Shaeer
Torsion of the Testis
The testis receives blood vessels from
the body, some of which are feeding vessels pouring blood into the testis
(arteries), and others are draining vessels carrying
blood and waste products away from the testis (veins).
Torsion o the testis is a condition
when the testis rotates around its vertical axis, with
subsequent rotation and occlusion of the blood vessels, leading to death of the
testis within six hours.
Torsion leads to severe sudden pain. It
requires immediate consultation of a specialist to determine the necessity of
immediate surgical correction. Diagnosis is established by
ultrasonography. The latter measures the
blood flow in the painful testis in comparison to the normal one. If blood flow
is less in the painful one, the condition is diagnosed as torsion. If the flow
is higher, then it is a case of inflammation of the testis (epididymo-orchitis).
Epididymo-orchitis requires medical treatment, while torsion requires surgical
Surgical treatment consists of
immediate de-torsion (the testis is returned to its normal position)
and applying heat and oxygen so that the testis is revived. If it is
revived, it is fixed in the correct position so that torsion will
not occur again. The other testis is fixed as well because if one
testis rotates, the other is liable to rotate too. If the testis
cannot be revived, it should be removed. Removal of one testis will
not affect fertility or masculinity if the other testis is normal.
The earlier treatment is initiated, the more likely it is to save
the testis. It is therefore necessary not to ignore testicular pain.
Accidents / Trauma
Trauma and accidents affecting the testis may lead to infertility.
Examples are direct kicks, blows, and falling astride an object. Trauma may lead
to perforation / rupture of the external wall of the testis (tunica
albuginea), with expulsion of the sperm producing tissue to the outside and
massive bleeding. It is necessary to consult a specialist as urgently,
especially if a swelling occurs, to determine the need for
surgical repair. The decision is made by
Surgery consists of
evacuation of the collected blood, stopping any source of bleeding
and suturing the ruptured testis to seal its wall.