Genital injuries from sexual intercourse are rare, and even if they occur, they are usually due to underlying abnormalities of the genitals. But then again, the occurrence of sexually transmitted diseases is often related to genital damage, because damage allows pathogenic microorganisms to enter the patient's body. Of course, this damage is minor and often difficult to detect with the naked eye. We are talking about very obvious injuries here. 1. Urethritis Intense sexual intercourse often causes urethritis in some men, especially when the patient has phimosis, poor personal hygiene, or when the woman has vaginitis. The urethra is tender and sometimes dysuria occurs; microscopic examination and culture can help make the diagnosis and identify the cause. Because the corpus spongiosum becomes engorged and hard during erection, it is easily damaged. Using sex devices such as vacuum devices or therapy rings at the base of the penis to increase or prolong an erection may damage the urethra. Pre-existing abnormalities such as urethritis, urethral stones, urethral diverticula, and urethral stenosis can increase the possibility of urethral injury. 2. Penile skin trauma Commonly seen in bite wounds, underlying foreskin abnormalities, and use of sexual implements. In particular, the use of the device may cause edema at the distal end, which often makes it difficult or impossible to remove the device. Unless necrosis occurs due to delay, most patients can recover completely. Sometimes urination is difficult due to severe urethral edema, and a No. 2 catheter or suprapubic cystostomy may be required. 3. Ingrown foreskin It occurs in men with long and tight foreskin. When the foreskin retracts to the coronal sulcus behind the glans, the foreskin cannot return to its original position due to congestion of the glans and edema of the foreskin. The blood supply to the glans should be restricted at this time, so you need to go to the hospital immediately to deal with this problem. 4. Testicular damage Generally speaking, the white membrane of the testis can withstand a force of 50 kg without breaking. In addition, due to its mobility and deep location, the chance of testicular injury during sexual intercourse is rare. If damage does occur, it is likely that the testicles have been squeezed against the pubic bone or groin area. If you suspect testicular bleeding or rupture of the tunica albuginea, you should go to the hospital for surgical exploration and repair. Its spermatogenesis and hormone secretion functions can usually be preserved. The diagnosis should not be difficult based on the history and testicular tenderness or the presence of a superficial rupture. If there is previous epididymitis or hydrocele, the activity of the testicles during sexual intercourse may cause discomfort during sexual intercourse. 5. Abnormal penile erection It rarely occurs when sexual intercourse lasts too long or the movements are too vigorous. Indeed, when this symptom occurs, a blood test should be performed to rule out sickle cell anemia and leukemia. You should also ask whether there is a history of neurological disease, trauma, or special medication. 6. Penis fracture It is usually caused by a tear in the tunica albuginea of one or both of the corpora cavernosa and occurs only when the penis is erect. During erection, the tunica albuginea becomes thinner, only 1/4-1/2 mm thick. Tears often occur in the middle and distal parts of the penis. Sexual intercourse is by no means the only nor the most common cause of penile injuries. Most of them occur when the penis is squeezed hard to reduce its erection, or when the erect penis is rubbed on the bed or hard objects; it can also occur when the erect penis is traumatized by kicking, hitting, falling, etc. Penile fractures occur more often during sexual intercourse when the erect penis hits the woman's pubic bone or perineum, falls out and hits the bed during twitching, or when the sexual position changes suddenly. Special reminder: "Men should protect their genitals and cherish their genitals." At the same time, measures should be taken to assist their growth and development and maintain their health and longevity. Genital injuries that occur during sexual intercourse can also cause temporary psychological stress and trauma, but since most cases can recover quickly and generally do not become serious problems, the prognosis is relatively optimistic. |
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