A man broke his penis in three places after it snapped against his partner during sex.
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The 36-year-old, from Tanzania, showed up at the hospital a few hours after his blinding injury with a painful, swollen and bloody member.
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He heard a loud “snap” after his penis hit his partner’s perineum – the skin between the vagina and anus – with a “very high” impact.
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Scans showed the unnamed man, whose horrific injury was shared in a medical journal, had broken three different parts of his penis.
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Medics operated on him to resolve the “extremely rare urological emergency” and he made a full recovery.
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The unknown man, from Tanzania, appeared at the hospital with a painful, swollen and bloodied penis
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Detailing the story in the Case Reports from the International Journal of Surgerydoctors said that the patient went to the hospital with a swollen penis.
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He complained that it was painful and that he had spent five hours bleeding from his urethra – the tube that expels urine and semen from the body.
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His penis “slipped, lost its way, and hit the female perineal area while trying to reinsert it,” the medics wrote.
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He quickly lost his erection and was in pain.
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The patient went to a nearby health center, where he was given pain medication and referred to Kilimanjaro Christian Medical Center.
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Urologists at the hospital, led by Dr Bartholomeo Nicholaus Ngowi, said his penis was ‘a bit twisted’, bloated and covered in blood. But the rest of his genitals seemed normal.
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The anatomy of an erection is based on two spongy tubes that fill with blood and harden, called the corpora carvenosa, and a firm, fibrous sheath that surrounds them, the tunica albuginea.
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An ultrasound revealed that he had broken a blood vessel in the corpora cavernosa.
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And an MRI showed a tear from left to right through the tunica albuginea, corpora carvenosa and corpus spongiosum, which is erectile tissue. The scan also showed that there was a partial tear in the urethra and swelling.
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Although there are no bones in the penis, these injuries are still known as a penile fracture.
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The patient was rushed to emergency surgery, where a urologist repaired the fracture by “degloving” the penis and suturing the corpora cavernosum as well as the urethra and corpus spongiosum.
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The man was fired three days later.
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At a six-month checkup, the man reported that his sex life had resumed without any problems and his penis had returned to normal.
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The doctors said only penile fractures are uncommon.
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And they ‘rarely’ involve all three ‘erectile bodies’ – the two corpora carvenosa and corpus spongiosum.
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Penile fractures are most common during sex, but can also happen during masturbation or if a man rolls over in his sleep, doctors said.
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The impact when the patient’s penis hit his partner’s perineum must have been “very high” to cause “such a serious fracture,” they added.
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