Man suffers nine-day erection after falling off moped and bruising his manhood
A moped rider had to contend with a nine-day erection after falling off his bike, according to a medical report.
It allegedly took 13 months for the British man to "return to normal erectile function following the injury", and the injury resulted in "mild discomfort while walking".
Doctors from University Hospital Southampton shared their notes in Case Reports in Urology, detailing that the man bruised his genitals from the accident, and that the ensuing injury resulted in a "rare" prolonged erection.
"On examination there was a grade IV erection with a rigid base and shaft with slight dorsal curvature of 10 degrees, which was non-tender," they wrote. "There was a superficial haematoma [blood clot] present to the scrotum and base of [the] penis."
As the blood in his penis became trapped and was unable to drain, he suffered an erection for nine days.
The 35-year-old also had two fistulas - an abnormal connection connecting two organs or vessels which shouldn't usually connect. The doctors stated that his "arteriocavernous fistulae", which is associated with penile or perineal trauma, is "rarer still".
This kind of injury, if not treated immediately, can lead to scarring and permanent erectile dysfunction.
They said that treatment of such erections is "conservative either through observation, use of ice packs, mechanical decompression [for example via surgery] or an injection [into the base of the penis]."
After the man went to hospital, nine days after his accident, he was given a microcoil embolisation - a process which involves a catheter being used on specific arteries feeding his erection to create blood clots to stem the flow of blood to the fistulas.
"To our knowledge, this is the first reported case to use multiple materials for embolisation for this [condition]," the doctors concluded. "Timely intervention needs to be considered to avoid the potential risk of erectile dysfunction in the long term from conservative measures."