Dr. Tra Anh Duy, from Men's Health Center, reported that the patient arrived distressed, as the injury resembled a penile fracture. Following examination, doctors opted for conservative treatment: cold compresses, pain relievers, anti-inflammatory drugs, and measures to reduce erections. The patient was advised to abstain from sexual activity for at least 3-4 weeks. A one-month follow-up confirmed the hematoma had fully cleared, with no penile curvature and normal physiological function.
Dr. Duy noted that intimate accidents frequently result from couples mimicking complex positions seen in adult films, such as the "cowgirl" or variations involving lifting and wide-angle movements. While film scenes are often rehearsed and edited, a minor slip during arousal can lead to serious injury in reality.
Medically, a "penile fracture" is a rupture of the tunica albuginea, the fibrous sheath surrounding the corpus cavernosum. During an erection, this sheath thins significantly, from 2 mm to about 0,25-0,5 mm, making it vulnerable to rupture from strong impact or sudden bending. Common signs include a distinct "crack" or "pop" sound, sharp pain, immediate loss of erection, swelling, and bruising. If the injury involves the urethra, difficulty urinating or blood in the urine may occur.
Patient admissions reveal that many men delay hospital visits due to embarrassment. They often present when the genital area is fully swollen and bruised, with noticeable curvature and a large hematoma. Such delays increase the risk of chronic penile curvature and erectile dysfunction, often requiring emergency surgery.
Experts advise caution when exploring positions involving significant bending or vigorous movement. Should the penis slip, couples must stop and adjust immediately. Limiting alcohol intake is also recommended to maintain control. If pain, rapid bruising, or an abnormal shape occurs after an impact, individuals should seek specialized medical attention to distinguish between a ruptured vein and a tunica albuginea tear, avoiding self-diagnosis that could impair future physiological function.
Le Phuong
