The human body is amazingly complicated, and it is no wonder that things can sometimes go spectacularly awry – and we only do that by accident.
That's happened to a 63-year-old man who went to New York emergency department for pain in his left knee after a fall on his butt and ended up with an alarming and rare diagnosis – penile ossification.
The doctors found the shockingly rare case when they x-rayed the man's pelvis for signs of fracture due to his fall. Instead, they discovered a bone-like calcification in a really unexpected place.
Calcium salts had accumulated in his soft tissue and had hardened along his entire penile shaft to "an extended plaque", which can be seen in the x-ray below. [1
Apart from some pain, the patient had no other symptoms of this disease, such as: Eg discharge or swelling. Penis ossification can lead to limited mobility and eventually erectile dysfunction, the case report states.
However, before the doctors were able to conduct further examinations, including probable cause identification, the man decided to abandon the treatment and ignored the medical advice he gave. d received.
Penis ossification was first described in humans in 1827, but is still a rare disease with less than 40 documented case reports. The most common cause is Peyronie's disease, in which fibrous scar tissue forms in the penis. it may also be due to trauma, end stage renal disease, or other conditions that result in excess calcium in the body.
"The treatment of penile ossification depends on the extent of the body ossification and the patient's symptoms," explain Georges El Hasbani of the American University of Beirut and colleagues in their case report.
Those with troublesome acute pain or chronic mild pain can be treated with oral analgesics, topicals, intralesional injections, mechanical stretch or vacuum devices, and extracorporeal shockwave therapy. Severe cases of chronic pain or erectile dysfunction are usually treated surgically. "Penis ossification actually occurs more often in aging dogs, but dogs already have bone in their penis, in fact, most mammal species do it."
This has led some scientists to speculate on whether it is due to an evolutionary setback in humans but the condition has recently been accepted as a peculiarity in the fibrous connective tissue of our body.
"The human body is capable of forming bone tissue or cartilage in the presence of connective tissue at sites affected by pathological conditions," explained medical researchers in a review of the literature.
"It is well known that bone tissue is also originated in places" have nothing in common with the skeleton, including the mammary gland, salivary gland, and testes. "
This last rare case was published in Urology Case Reports documented.