Penile Trauma Treatment in Singapore

Penile trauma treatment encompasses medical and surgical interventions designed to address injuries to the penis and surrounding structures. These injuries can range from minor contusions to severe damage requiring emergency surgery. Treatment aims to preserve erectile function, maintain urinary continence, restore normal anatomy, and prevent long-term complications.

The approach to treatment depends on the type and severity of injury. Minor trauma may require conservative management with medication and observation, while severe injuries often necessitate surgical repair. Modern treatment protocols focus on both immediate stabilization and long-term functional outcomes. Our urologists in Singapore use established techniques to minimize scarring, preserve sensation, and maintain sexual function whenever possible.

Treatment may involve addressing damage to the erectile bodies (corpora cavernosa), urethra, skin, or blood vessels. The goal is to restore normal anatomy and function while minimizing the risk of complications such as erectile dysfunction, penile curvature, or urethral strictures.

Patients Requiring Immediate Treatment

• Those experiencing penile fracture (rupture of the tunica albuginea)
• Individuals with penetrating injuries to the penis
• Patients with severe blunt trauma causing deformity or swelling
• Those with active bleeding from penile injuries
• Individuals experiencing inability to urinate after injury
• Patients with zipper injuries or constriction injuries
• Those with burns or frostbite affecting the penis

Signs Requiring Urgent Evaluation

• Sudden “popping” sound during intercourse followed by pain
• Rapid swelling and bruising of the penis
• Abnormal penile curvature or deformity
• Blood at the urethral opening
• Difficulty or inability to pass urine
• Severe pain not relieved by over-the-counter medication
• Any penetrating injury regardless of size

Prompt medical evaluation is essential. Delays in treatment, particularly for penile fractures, can lead to permanent complications including erectile dysfunction and penile curvature. Our urologists are available for emergency consultations to ensure timely intervention when needed.

Conservative Management

For minor penile trauma such as contusions or superficial lacerations, conservative treatment may be sufficient. This includes ice application, compression dressing, pain management, and antibiotics when indicated. Close monitoring ensures that more serious injuries are not missed and that healing progresses appropriately.

Surgical Repair for Penile Fracture

Penile fracture requires urgent surgical intervention. The procedure involves evacuating blood clots, identifying and repairing tears in the tunica albuginea, and addressing any associated urethral injuries. Our urologists use meticulous surgical techniques to restore normal anatomy and preserve function.

Urethral Injury Management

When trauma involves the urethra, specialised repair techniques are employed. This may include primary repair for small injuries or more complex reconstruction for extensive damage. Temporary urinary diversion with a catheter is often necessary during healing.

Technology & Equipment Used

Modern surgical equipment including high-magnification loupes or microscopes allows for precise tissue repair. Doppler ultrasound helps assess blood flow, while flexible cystoscopy enables thorough evaluation of urethral injuries. These tools ensure comprehensive assessment and good surgical outcomes.

Pre-Treatment Preparation

Initial evaluation includes a detailed history of the injury mechanism and timing. Physical examination assesses the extent of trauma, though this is done carefully to avoid further injury. Imaging studies such as ultrasound or MRI may be performed to evaluate internal damage. Blood tests check for blood loss and infection markers. Patients are counselled about the procedure and potential outcomes.

During the Procedure

For surgical cases, general or regional anaesthesia is administered for patient comfort. The surgical site is carefully prepared and draped. Incisions are made to access injured structures while preserving as much healthy tissue as possible. Damaged tissues are repaired using fine sutures, with careful attention to anatomical alignment. The procedure typically takes 1-3 hours depending on injury complexity.

Immediate Post-Treatment

Following surgery, patients are monitored in recovery until fully awake. Pain management is provided through oral or injectable medications. A compression dressing is applied to minimise swelling. Most patients can go home the same day with detailed care instructions. Antibiotics are prescribed to prevent infection, and follow-up appointments are scheduled.

First 24-48 Hours

Immediate post-treatment care focuses on pain control and swelling reduction. Ice packs are applied intermittently, avoiding direct skin contact. The penis should be kept elevated when lying down. Patients should avoid strenuous activities and follow medication schedules carefully. Any signs of increased swelling, severe pain, or fever require immediate medical attention.

First Week

During the initial week, gentle wound care is essential. The dressing is changed as directed, keeping the area clean and dry. Patients gradually increase activity levels while avoiding heavy lifting or straining. Erections should be suppressed with medication if prescribed, as they can disrupt healing. Follow-up appointments assess healing progress and address any concerns.

Long-term Recovery

Complete healing typically occurs within 6-8 weeks. Sexual activity is usually restricted for 6 weeks to allow proper tissue healing. Regular follow-up appointments monitor for complications such as penile curvature or erectile dysfunction. Some patients benefit from penile rehabilitation exercises once cleared by their urologist. Most men regain full function with appropriate treatment and patience during recovery.

Prompt and appropriate treatment of penile trauma offers significant benefits for both immediate and long-term outcomes. Restoration of normal anatomy helps preserve erectile function, allowing men to maintain healthy sexual relationships. Proper repair prevents complications such as penile curvature (Peyronie’s disease) that can develop from untreated injuries.

Treatment addresses urinary function, preventing strictures or other complications that could affect urination. The psychological benefits are equally significant – successful treatment helps restore confidence and reduces anxiety about sexual function. Early intervention typically results in better cosmetic outcomes with minimal scarring.

For men who experience penile trauma, professional treatment provides peace of mind through proper evaluation and management. Even minor injuries benefit from medical assessment to rule out more serious underlying damage that might not be immediately apparent.

Common Side Effects

Temporary swelling and bruising are expected after penile trauma treatment and typically resolve within 2-3 weeks. Mild to moderate pain is common but well-controlled with prescribed medications. Some patients experience temporary changes in penile sensation that improve as nerves heal. Minor bleeding at surgical sites may occur but usually stops with gentle pressure.

Rare Complications

Less common complications include infection at surgical sites, which is minimised through sterile technique and prophylactic antibiotics. Haematoma formation may require drainage in some cases. Erectile dysfunction can occur, particularly if treatment is delayed or injuries are severe. Penile curvature may develop despite appropriate treatment, potentially requiring additional procedures.

Our experienced urologists use established techniques and careful surgical planning to minimise these risks. Regular follow-up allows early detection and management of any complications that may arise.

The cost of penile trauma treatment varies significantly based on injury severity and required interventions. Factors affecting cost include the need for emergency versus elective treatment, surgical complexity, anaesthesia requirements, and length of hospital stay. Diagnostic imaging and laboratory tests add to overall expenses.

Treatment costs typically include surgeon fees, facility charges, anaesthesia services, medications, and follow-up care. More complex injuries requiring extensive reconstruction or multiple procedures naturally incur higher costs. Some cases may require specialised equipment or materials for good repair.

Quality care from experienced urologists is essential for good outcomes. While cost is a consideration, choosing treatment based solely on price can compromise results. Our clinic provides detailed cost estimates during consultation, helping patients make informed decisions about their care.