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    Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook103 pages43 minutes

    Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Even though the penis is not a bone, there is such a condition called penis fracture.
    A fracture of the penis is a relatively rare disorder, defined as the rupture of the tunica albuginea due to trauma to the erect penis.
    Penis fractures normally take place when the engorged penile corpora are pressed to buckle and practically “pop” under the pressure of a blunt sexual injury.
    Patients normally have immediate detumescence, severe pain, and swelling as a result of the injury.
    Prompt surgical exploration and corporal repair is the most effective treatment.
    Vigorous vaginal intercourse and intensive penile masturbation are the most frequent causes.
    Penis fracture normally happens from a bending injury during vigorous sexual intercourse, mostly when the penis slips out of the vagina.
    In the Western world the most frequent cause, about 30%-50% of cases, is over strenuous sexual intercourse.
    Of those, woman-on-top positions leading to impact against the female pelvis or perineum and bending laterally are most frequent.
    In Middle East countries the frequent cause is physical handling of the penis to stop an erection.
    Taqaandan, which comes from a Kurdish word meaning to click, requires bending the top part of the erect penis while holding the lower part of the shaft in place, until a click is heard and felt.
    Most injuries that occur from masturbation come from powerfully reducing an erection without care and fracturing it.
    Infrequently it may happen while turning over in bed, forced bending, or rapidly removing or applying clothing when the penis is erect.
    In flaccid state it permits considerable degree of abnormality without any injury to the vital structures but in erected state it is susceptible to blunt injury.
    Predisposing factors are excessive force at coitus or masturbation, fibrosclerosis of the tunica albuginea and chronic urethritis.
    While the penis alters from a flaccid state to an erect state, the thick tunica albuginea becomes very thin from 2 mm to 0.25-0.5 mm.
    The tunica albuginea thins, stiffens, and loses elasticity and is easily fracturable.
    Penis fracture is linked with urethral interference, and needs repair
    A cracking or popping sound, considerable pain, swelling, instant loss of erection leading to flaccidity, and skin hematoma of various sizes are often linked with the sexual event.
    Patients complain of a traumatic bending of the erect penis, often with a cracking noise.
    Normally, a sudden detumenescense happens and a massive penile hematoma forms.
    A deficiency in the tunica albuginea may be palpable
    The gross appearance of a fractured penis is often present as an “eggplant deformity,” the combination of localized penile swelling, discoloration, and deviation toward the opposite side of the fracture.
    The diagnosis of “penis fracture” specifically indicates a rupture of the corpus cavernosum induced by blunt trauma to the erect penis.
    Retrograde urethrography is advised in any case of suspected penis fracture that manifests with urinating difficulty, hematuria, or blood at the meatus
    Ultrasound should be considered as the initial imaging method, and MRI can be helpful in cases that ultrasound does not depict any tear
    Ice packs, Foley catheterization, and anti-inflammatory medicines were regarded as the early care for penis fractures
    Proper surgical repair of penis fractures needs evacuation of the hematoma, recognition of the tunica injury, local corpora debridement, closure of the tunica lacerations, and ligation of any disrupted vasculature.
    Besides being the most cosmetic incision, distal degloving readily permits exposure to the entire tunica bilaterally, allowing diagnosis and repair of co-existing urethral and contra-lateral injuries.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Penis Fracture
    Chapter 2 Causes
    Chapter 3 Symptoms
    Chapter 4 Diagnosis
    Chapter 5 Treatment<

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJul 10, 2017
    ISBN9781370923939
    Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Penis Fracture,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2017 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Penis Fracture, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Penis Fracture)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank the patient for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Penis fracture

      Even though the penis is not a bone, there is such a condition called penis fracture.

      It is the traumatic rupture of the tunica albuginea of an erect penis.

      What is a Penis fracture?

      A fracture of the penis is a relatively rare disorder, defined as the rupture of the tunica albuginea due to trauma to the erect penis.

      Sporadic documents of penis fracture suggest a rare trauma but penis fracture is not so rare.

      The true incidence of penis fracture is not recognized even in western countries because it is hidden or under documented probably due to social embarrassment and socio-cultural problems; even it is reported to doctors it remains undiagnosed or mistreated.

      Penis fractures normally take place when the engorged penile corpora are pressed to buckle and practically pop under the pressure of a blunt sexual injury.

      Patients normally have immediate detumescence, severe pain, and swelling as a result of the injury.

      Prompt surgical exploration and corporal repair is the most effective treatment.

      The cause of penis fracture is the traumatic rupture of the tunica albuginea of an erect penis.

      Penis fracture is a medical emergency that always requires attention.

      While the penis fracture is easily identified and therefore known as a first-look diagnosis, this medical entity is always embarrassing for patients and partners and goes unreported many times.

      Structural anomalies could change the mechanical strengths of the tunica albuginea, indicating a weak factor of the corpora cavernosa and thus a vulnerable factor for traumatic rupture of the penis.

      Penis fracture is a disorder of mostly medical diagnosis, therefore the treatment of a penis fracture should not have any further test other than surgical exploration.

      What are the causes of Penis fracture?

      Causes:

      Penis fracture

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