How to give first aid after penis injury how to treat penis injury reasonably

Penile injuries generally occur during the intense sex life, once such an accident occurs, self-rescue measures should be taken immediately to avoid serious problems. Male genital injuries caused by knife cuts squirting dildo , stab wounds, gunshot wounds, crush injuries, livestock bites, surgical and mechanical accidents are more common. Due to the different degree of male genital injury or improper treatment can have a certain impact on patients' sexual function and fertility, and even cause lifelong sexual dysfunction and infertility. Therefore, reasonable treatment after injury is very important.
How to give first aid after penis injury
The injury of penis in the same room is not uncommon in clinic. it usually occurs during the intense sexual life, especially when taking a female superior position or adopting a more peculiar sexual posture, it will cause penile torsion or sudden impact. thus causing tearing of the penile frenulum, and even rupture of the white membrane and cavernous body of the penis.
Tearing and breaking the penis is an embarrassing and bewildered problem. In the event of such an accident, self-rescue measures should be taken immediately to avoid the seriousness of the problem.
When the penis is erect, a large amount of blood will be injected into the cavernous body of the penis, and the volume of the cavernous body suddenly increases, so that the white membrane outside it becomes thinner, is in a highly tense state, and the brittleness increases obviously, just like a small balloon being blown up.
If the white membrane is suddenly affected by external forces, the expansion and elasticity of the white membrane exceed the limit, and one side of the white membrane and cavernous body are prone to rupture. Sometimes, when breaking, you can hear the sound of "snapping", and at the same time feel sharp pain, a sense of tearing male masturbation toys silicone dildo , and then the penis is weak, gradually swollen and blue. The penis will bend to the healthy side, and in severe cases, it will be complicated with urethral tear, resulting in urethral bleeding.
How to treat reasonably when penis is injured?
External genital avulsion extensive skin avulsion of penis and scrotum. Most of them occur in mechanical accidents. The degree of avulsion injury varies from simple skin avulsion of penis and scrotum to partial loss of corpus cavernosum and testis and even perineum. Should seek medical treatment as soon as possible after the injury, otherwise after the secondary infection, the wound scar heals, causes the external genitalia to deform. The skin of penis and scrotum has rich blood circulation, which is beneficial to wound healing. When cleaning the wound, be sure to retain the vital skin connected with normal tissue, and thoroughly remove the inactive tissue and skin. Suture the original skin as far as possible after debridement, and skin grafting should be performed if there is a skin defect, which can reduce the formation of penile skin scar, maintain the constant testicular temperature, and maintain normal sexual function and fertility. When the scrotal skin is completely avulsed, the active residual scrotal skin and the medial thigh or perineal transfer flap should be used to reconstruct the scrotum.
Cross-sectional injury of penis can be divided into two types: partial and complete. As the penis is rich in blood flow, it is easy to have massive bleeding when it is transected, so it should be pressed to stop bleeding first after injury to prevent hemorrhagic shock. Part of the transverse injury was sutured to stop bleeding after debridement. The patients with complete transection should keep the amputated penis and simply suture the cavernous body and skin, and the penis can survive. Microsurgical anastomosis of penile artery and vein can achieve better curative effect and is beneficial to the recovery of penile erectile function. During the operation, the urethra should be handled properly and temporary suprapubic cystostomy can be performed. In order to ensure the blood circulation of the replanted penis, the penis was fixed in the extension position after operation. Edema disappeared within 1 month after penile replantation, tactile and acupuncture sensation were restored 3 months later, and physiological erection and ejaculation were restored in some patients. If the complete transection time is too long or the distal tissue is seriously damaged and can not be replanted, the proximal wound of the penis should be cleaned and sutured, the residual penis should be preserved as far as possible, and penile reconstruction should be performed later.
The external force of the dislocation of the penis acts directly on the root of the penis, causing the penis to shift. The trunk of the penis detached from the skin can be located under the skin of the scrotum, perineum, groin, lower abdomen or medial thigh. Dislocation of the penis is often associated with urethral injury and urinary extravasation. During treatment, the penis should be restored as far as possible. if the reduction is difficult or the supporting tissue is torn seriously, the displaced penis should be fixed in situ, and the patients with urethral injury should be treated accordingly.
Strangulation of the penis due to abnormal libido, mental disorders or mischief, such as string, rubber band, metal ring and so on will be ligated in the trunk of the penis, causing penile blood circulation disorders. Early occurrence of penile ligature distal skin edema, sometimes accompanied by severe pain. In the later stage, the swelling further affected the arterial blood circulation, resulting in distal penile necrosis and dysuria. During the treatment, the ligature is first removed to improve the blood circulation of the penis. The ring that cannot be cut off mechanically can be pressed by hand or twisted by rope around the distal penis, and several piercing holes are made with thick needles at the swelling place, reaching to the corpus cavernosum of the penis, so that the dropsy fluid and hematoma are excreted, and the ring can be removed easily after the distal penis is narrowed, and the metal ring can also be ground off with a dental drill. Patients with severe penile necrosis should be diverted from urine flow, local dressing change, and effective antibiotics should be given to control infection. Penile strangulation is often accompanied by urethral stricture, so urethral dilatation should be done regularly after operation.
Scrotal injury often occurs in knife and gun events and local severe impact, and it is also common in scrotal surgery. According to the cause of injury, it can be divided into two types: closed injury and open injury, the former includes contusion, scrotal hematoma or hydrocele, and the latter has laceration, cutting wound and war injury. Minor closed injuries only require bed rest, elevation of the scrotum, local cold compress and pain relief. When the scrotal hematoma is too large or progressive, it is necessary to cut and stop the bleeding, remove the hematoma and place drainage, and give antibiotics to prevent infection at the same time. Open wounds should be cleared as soon as possible, foreign bodies and inactive tissues should be removed and sutured, anti-infective treatment and tetanus serum injection should be given.
Testicular injury testes are located in the scrotum and have a high range of motion, so the chance of injury is lower than that of the scrotum. According to the etiology, it can be divided into three types: open injury, closed injury and iatrogenic injury. Open injuries are more common in knife, gun and mechanical injuries. Local extrusion and impact can cause closed testicular injury. Iatrogenic injuries were seen in testicular trauma examination and scrotal surgery. According to the degree of injury, testicular injury is divided into contusion xxl dildo , rupture and dislocation. Patients with testicular trauma often show nausea, vomiting, severe pain, and radiation to the groin and waist, sometimes pain can lead to shock. When the testes are bruised, the scrotum is bruised, the testicles are enlarged and hardened, and the tenderness is obvious. Scrotal hematoma occurs quickly after trauma, and the unclear outline of the testis indicates testicular rupture. The location of testes outside the scrotum after trauma is testicular dislocation. The treatment of testicular injury should first relieve pain, reduce testicular tension and stop bleeding, and preserve testicles as far as possible during debridement. Contusions can be cured by conservative treatment such as bed rest, holding up the scrotum and local cold compress. Mild testicular rupture requires debridement and hemostasis, suturing the albuginea, and severe testicular rupture requires testicular resection. Testicular dislocation should be reduced by emergency operation and orchiopexy should be performed at the same time.
Inguinal cord injury and scrotal surgery are the most common causes of spermatic cord injury. Injuries include spermatic hematoma, injury of spermatic vessels, accidental ligation or amputation of vas deferens and rupture of spermatic cord. Vascular injury can cause testicular spermatogenesis or testicular atrophy. Ligation or transection of the vas deferens blocked the sperm output pathway. Conservative treatments such as rest and local cold compress can cure most spermatic hematoma.
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