What to do if the corpus cavernosum is damaged and has induration

The formation of induration due to damage to the corpus cavernosum can be improved through drug therapy, physical therapy, lifestyle adjustment, psychological intervention, and surgical treatment. It is usually caused by trauma, inflammation, fibrosis, vascular disease, or priapism.

1. Drug treatment:

For induration caused by inflammation or fibrosis, doctors may prescribe nonsteroidal anti-inflammatory drugs such as celecoxib to relieve pain, or inject collagenase to dissolve fibrous tissue. Pentoxifylline, which improves microcirculation, can be used for vascular lesions, but medical advice must be strictly followed. Some patients need to cooperate with hormonal drugs to inhibit local proliferation.

2. Physical therapy:

Extracorporeal shock wave therapy can promote the softening of induration, and 2-3 sessions per week can improve blood flow. Low-intensity pulsed ultrasound can reduce fibrosis, and combined with local heat compress can enhance the effect. Penile traction devices are suitable for some patients with early-stage fibrosis and need to be used under professional guidance.

3. Adjustment of living habits:

Stop smoking and drinking to avoid further damage to blood vessels, and control blood sugar and blood pressure to reduce the impact of metabolic factors. Avoid strenuous sex or trauma, and choose loose-fitting underwear to reduce friction. Increase the intake of anti-inflammatory foods such as deep-sea fish and nuts, and supplement vitamin E to assist tissue repair.

4. Psychological intervention:

The anxiety associated with erectile dysfunction requires psychological counseling. Partner participation in treatment can relieve psychological stress. Cognitive behavioral therapy helps establish correct sexual concepts, and biofeedback training improves pelvic floor muscle coordination. People with severe mental disorders need to be referred for psychiatric evaluation.

5. Surgical treatment:

When stubborn induration causes the penis to bend more than 30 degrees, plaque removal and graft repair can be selected. Minimally invasive techniques such as laser ablation are less invasive but have higher recurrence rates. Prosthetic implantation is suitable for patients with severe erectile dysfunction, and postoperative expectations need to be fully evaluated.

It is recommended to take a warm sitz bath every day to promote local blood circulation and avoid long-term riding or pressure on the perineum. Moderate aerobic exercise such as brisk walking and swimming can help improve vascular endothelial function, but weight lifting and other exercises that increase abdominal pressure should be avoided. Regularly review ultrasound to monitor changes in induration. If new pain, difficulty urinating, or worsening of erection angle occurs, timely treatment is required. Pay attention to supplementing nutrients such as zinc and arginine in the diet, and limit high-fat and high-sugar foods to reduce oxidative stress damage. Maintain a regular sexual frequency to avoid priapism caused by drug abuse.