1. Penile damage.
If the sex life is too intense or the posture is incorrect, it is easy to cause damage to the male genitals. We know that the penis is composed of two corpus cavernosums and one corpus cavernosum. The urethra runs through the corpus cavernosum. There are abundant vascular sinuses in the corpus cavernosum, and the outside is surrounded by a tough tunica albuginea. The corpus cavernosum and the urethra are surrounded by the fascia of the penis to form a whole. When the penis is erect, the vascular sinuses in the cavernosus increase, and the blood flow increases by as much as 25 times compared with the weak state. Due to the special anatomical structure and physiological characteristics of the penis, when the penis is erected, the blood film of the penis is in a state of high tension due to the filling of the cavernous body. The tunica albuginea outside the cavernous rupture. Usually the patient complains of hearing a crisp ‘click’ or ‘pop’ sound during sex, followed by a weak penis. At the same time, severe pain, swelling of the penis, bruising and bruising under the skin, and tending to the injured one If the penis fascia is injured again, the bleeding can penetrate into the scrotum or perineal skin along the intrafascial space. Generally speaking, urination is normal without urethral injury. Difficulty urinating may be induced. When a colleague has symptoms such as urethral orifice bleeding, hematuria, or dysuria, it should be suspected that there may be concurrent urethral injury.
Improper sexual intercourse can cause the penis to break, such as when the erect penis is not aligned with the vaginal opening and violently hits the woman’s pubic bone, perineum, prolapses and hits the bed when twitching, or when the sexual position changes sharply, the penis becomes erect. of strong bending. resulting in penile fractures. In addition, if the erect penis is injured by kicks, beatings, falls, etc.; the fracture of the penis during sexual intercourse is more than that of the erect penis. In addition, unreasonable masturbation can also cause damage to the penis. For example, when a man is masturbating, in order to obtain stronger stimulation, the action is too large or the penis is inserted into an object, etc., which may cause the penis to break.
Generally speaking, patients with mild rupture, mild pain, and little bleeding can be treated conservatively, such as physical therapy, massage, heat compress and infection prevention. Those with severe injuries need to undergo surgery to eliminate blood accumulation, suture cracks, and press bandages to prevent hematoma from forming induration, which is easy to produce nodules, affect future erectile function, and even have erectile dysfunction or erectile dysfunction.
2. Testicular damage.
Due to the relaxation of the soft tissue of the scrotum, the activity of the testis is relatively large, but the scrotal contents are fragile and tender and have poor resistance to injury. Therefore, damage to the scrotum and its contents is not uncommon in clinical practice.
Usually occurs in young adults. Injuries to the testis, sheath, spermatic cord and scrotal wall often occur at the same time, and the most common cause of injury is direct violence. Since the testis not only has the function of rapid secretion, but also has the function of producing sperm, so when the testis is traumatized, it is necessary to revolutionize the disease, and try to preserve the function of spermatogenesis and hormone secretion.
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3. Foreskin damage.
During sexual life, if it is too intense or using certain appliances, it is easy to cause damage to the foreskin or the skin of the penis. This occurs in men with an overgrown and tight foreskin. When the foreskin recedes into the coronal sulcus behind the glans, the foreskin cannot return to its original position due to hyperemia of the glans and edema of the foreskin. At this time, the blood supply to the glans should be limited, which can cause ischemic necrosis in severe cases, so urgent treatment is required.
4. Sexual asphyxia.
Generally refers to the use of ropes, stockings, scarves, ties, belts, scarves, etc. to hang the neck in remote and hidden places, or to cover the mouth and nose with rubber bags, plastic pockets, masks, etc., causing suffocation to achieve sexual satisfaction. In the process of suffocation, hypoxia and alkalosis will produce mental excitement and sexual pleasure, and at the same time, the genital congestion will help the penis to erect, and the pleasure of masturbation can be enhanced in the hypoxic state. At this time, when the brain is in a certain degree of hypoxia, the release of excitatory neurotransmitters such as dopamine, serotonin and norepinephrine increases, which will cause symptoms such as delusions, hallucinations and delirium. The activity of the person is enhanced, and the response of external sexual stimuli in the brain can be amplified to a certain extent, and thus obtain extraordinary sexual pleasure, and even achieve orgasm.
But sexual choking is very dangerous. Because in the state of hypoxia, the human body’s various activities and self-protection capabilities are weakened, and immediately after the orgasm, it falls into a state of weakness, even coma and disturbance of consciousness. Under the circumstance that the choking behavior is not inappropriate and the relief measures are normal, the client can wake up in time after the orgasm and stop the choking behavior. However, once the behavior is excessive, such as the rope is too tight, the knot is killed, etc., beyond one’s own control, and the relief measures fail, it is easy to cause suffocation and death.