Kenneth Kee

Penis Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

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 ...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 10. Juli 2017
• Englisch
• ISBN-13: 9781370923939
• Artikelnr.: 48764844

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...