Penile tissue dries out rapidly and becomes necrotic and gangrenous. Dysuria may develop from compression of the urethra. Treatment includes cold packs to decrease swelling and lubricants. It may be necessary to incise the prepuce to replace the penis and place a temporary purse string suture in the prepuce to prevent recurrence. Amputation of the penis is necessary if it is gangrenous.
Priapism is a constant state of erection unrelated to sexual desire.
Causes include spinal cord lesions, genitourinary infection, or constipation. Treatment is for the underlying cause. Bland ointments should be applied to prevent drying of penile tissues. Anorchidism is a congenital defect of retention of the testes at some point in the course of normal descent. Anorchidism can be unilateral or bilateral and is commonly observed.