Injury to the penis

Injuries to the penis can have various causes, including:

• Traumatic events: Blunt or sharp injuries, e.g., from accidents, falls, or the penis getting caught in zippers or door frames.
• Sexual activities: Tears or fractures can be caused by abrupt movements or excessive force during intercourse, especially when the erect penis is suddenly bent.
• Medical procedures or catheterization: The use of catheters or other medical devices can, in rare cases, lead to injuries of the urethra or other structures of the penis.

• Swelling and pain: After trauma or an accident, significant swelling often occurs, accompanied by severe pain.
• Bruises or hematomas: Discoloration of the skin or bruises, especially in more severe injuries like a penile fracture.
• Bleeding: Open wounds or tears in the skin can lead to bleeding, especially with cuts or abrasions. In cases of urethral injuries, there may be blood in the urine or from the urethra.
• Deformation of the penis: In the case of a penile fracture, the penis may appear unnaturally bent or deformed, often with an audible "crack" at the time of injury.
• Difficulty urinating: If the urethra is affected, there may be pain or difficulty urinating.

The diagnosis is made through a physical examination and medical history, during which the doctor assesses the injury and inquires about the accident. In some cases, imaging techniques such as ultrasound or magnetic resonance imaging (MRI) may be used to determine the extent of the injury, especially if a penile fracture or urethral damage is suspected. In cases of urethral injuries, a retrograde urethrography (X-ray with contrast medium) can be performed.

• Conservative treatment: Mild bruises or skin tears can usually be treated conservatively, e.g., by immobilization, cooling, and pain-relieving medication.
• Surgical repair: For more severe injuries, such as a penile fracture or tears of the urethra, a surgical procedure is usually required to repair the tissue and restore normal penile function.
• Antibiotics and wound care: For open wounds or injuries that carry a risk of infection, antibiotics and regular wound care may be necessary to prevent an infection.

To prevent injuries to the penis, risky activities, especially in sexual life, should be carried out with caution. Proper protection during sports activities can help avoid accidents. Furthermore, catheters and medical instruments should always be used under sterile conditions and properly to minimize injuries.