the Risks of Tunica Albuginea Fibrosis in Men’s Health

White membrane fibrosis

Hello Doctor: I am a patient with a mental illness, and it has been very difficult for me to find a girlfriend.
Eventually, I met a female friend online.
On February 13, although we did not engage in sexual intercourse, we mimicked various sexual positions.
Due to excessive force, I experienced bruising on my penis the next day, and after applying "Xiliao Yu" for several days, it healed.
Unfortunately, a few weeks later, I noticed a curvature in my penis during morning erections.
It takes a long time for me to achieve an erection during masturbation, and I also experience premature ejaculation.
After researching related information, I read that "if a penile fracture occurs, surgery must be completed within three days; if the critical surgical window is missed, the wound will heal on its own, leading to fibrosis of the penile tunica albuginea, causing curvature and affecting erectile function." My greatest concern is - if this condition is left untreated, what serious complications could arise from penile tunica albuginea fibrosis? Thank you very much for taking the time to read my message.

xiang bu kai, 30~39 year old female. Ask Date: 2016/03/31

Dr. Xu Wencang reply Urology

It can cause penile curvature, which may require surgical correction in severe cases, and a hospital examination is necessary.

Reply Date: 2016/03/31

More Info

Understanding the risks associated with Tunica Albuginea Fibrosis, particularly in the context of penile injuries, is crucial for men’s health. The tunica albuginea is a fibrous envelope surrounding the corpora cavernosa of the penis, and any trauma or injury to this area can lead to complications, including fibrosis, which may result in conditions such as Peyronie's disease.

In your case, it appears that you experienced a significant trauma to the penis, which resulted in bruising and subsequent changes in penile curvature and erectile function. The concern about fibrosis arises when there is an injury that leads to the formation of scar tissue. If the injury is not addressed promptly, the body may heal in a way that causes the tunica albuginea to thicken and become less elastic, leading to a condition where the penis may bend or curve during erection, which can be painful and may affect sexual function.

The timeline you mentioned regarding the need for surgical intervention within three days is based on the understanding that early treatment can prevent the development of fibrosis. If surgery is performed within this window, it can help restore normal anatomy and function. However, if treatment is delayed, the risk of developing permanent changes increases significantly.

If left untreated, Tunica Albuginea Fibrosis can lead to several serious complications:
1. Penile Deformity: The most immediate concern is the curvature of the penis, which can make sexual intercourse difficult or impossible and may lead to psychological distress.

2. Erectile Dysfunction: The formation of scar tissue can interfere with the normal blood flow required for an erection, leading to erectile dysfunction.

3. Pain during Intercourse: The curvature and any associated scarring can cause pain during sexual activity, further complicating intimate relationships.

4. Psychological Impact: The physical changes and associated dysfunction can lead to anxiety, depression, and a decreased quality of life, particularly in the context of relationships and sexual health.

Given your symptoms of difficulty achieving an erection and early ejaculation, it is essential to seek medical advice from a urologist. They can perform a thorough evaluation, which may include physical examinations and imaging studies, to assess the extent of any injury and fibrosis. Depending on the findings, treatment options may include medication, penile traction therapy, or surgical intervention to correct any deformities and restore function.

In the meantime, it is advisable to avoid any further trauma to the area and to refrain from sexual activity until you have been evaluated by a healthcare professional. Additionally, discussing your mental health concerns with a qualified therapist or counselor may also be beneficial, as they can provide support and coping strategies as you navigate these challenges.

In summary, while Tunica Albuginea Fibrosis can lead to significant complications if left untreated, early intervention can help mitigate these risks. It is crucial to seek professional medical advice promptly to address your concerns and explore appropriate treatment options.

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