Urological emergencies: Do not wait long for injuries and acute illnesses
Men are reluctant to go to the urologist. But not only urological preventive care, but also acute illnesses and injuries in the urogenital area are put on the back burner. This can have serious consequences, because time is an essential factor in some acute illnesses in order to avoid permanent damage. Dr. Michael Stephan-Odenthal, urologist and medical director of the medical network Uro-GmbH North Rhine, knows the most common urological emergencies and explains how to behave best.
Tear of the foreskin ligament: Many men naturally have a slightly too short foreskin band. With an erection, it can tear during sexual intercourse. Since there is a small artery there, it begins to bleed profusely when the foreskin ligament tears. "It is best to first press the artery with your fingers and a handkerchief to stop the bleeding," advises Dr. Stephan-Odenthal. "If that doesn't help, those affected should immediately consult a specialist. Urologists use a pressure bandage to stop the bleeding and check the injury at the same time.
Erectile tissue rupture: What many refer to colloquially as "penile fracture" is rather a tearing of the erectile tissue due to a sharp kinking of the penis during sexual intercourse. A whip-like sound is followed by a bruise that causes the penis to swell. Bleeding from the urethra may also occur. Stephan-Odenthal warns: “Urologists have to operate within a few hours. Otherwise, permanent damage such as erectile dysfunction, impotence and narrowing of the urethra can occur. "
Testicular torsion: If the testicles and epididymis twist around the spermatic cord, urologists speak of testicular torsion. Blood vessels pinched off by this rotation lead to insufficient blood circulation. To prevent tissue death, urologists need to operate quickly - within a few hours. "Children are often affected," reports Dr. "The acute rotation can also occur in adolescent patients and young adults."
Paraphimosis: Paraphimosis occurs when a foreskin that is too tight is pulled back behind the glans. A lacing ring is created in the ring groove - the foreskin swells and can interrupt the blood flow to the glans. "If it is not possible to manually pull the foreskin back over the glans, urologists have to surgically split the lacing ring and then possibly trim the foreskin, which is too tight," explains Dr. Stephan-Odenthal the treatment. The same applies here: a quick visit to the urologist protects against serious consequences.
Priapism: This painful permanent erection often lasts longer than two hours without sexual arousal. Potency agents in overdose can be used as triggers. Stephan-Odenthal warns: "Affected people should see a urologist as soon as possible to prevent irreversible damage to the erectile tissue with subsequent loss of erection." The treatment consists of removing as much blood as possible from the erectile tissue by puncture and using medication injection to remove the erectile tissue To bring about relaxation.
Urinary retention: The extremely painful inability to empty the full bladder is mostly due to an abnormal prostate enlargement. "But narrowing of the urethra, foreign bodies or urinary stones in the urethra can also be considered as the cause," adds Dr. If the condition is not remedied quickly, urine backflow and kidney failure may result. To empty the urinary bladder, the urologist must insert a catheter through the urethra or, more rarely, through the abdominal wall into the bladder in order to drain the urine. (pm)