The human body is wonderfully complex, so it's no wonder that sometimes things can go awry – and we only find out by accident.
This happened to a 63-year-old man who went to the New York Emergency Department of left knee pain after falling back and ended with a troublesome and rare diagnosis – penis ossification.
Doctors found a shockingly rare case of a man's pelvic X-ray to check for signs of a bone fracture due to his fall.
Instead, they noticed bone-like calcification in a really unexpected place.
The calcium salts had accumulated in his soft tissue and solidified into a "vast plaque" all over his shaft of the penis, as can be seen in the radiograph below. [1
In addition to some pain, the patient manifests without other symptoms of this condition, such as discharge or swelling. Penis enlargement can cause reduced flexibility and ultimately lead to erectile dysfunction, the case report explains.
But before the doctors were able to carry out additional examinations, including eventual determination of the cause, the man decided to leave, ignoring medical advice, d.
Penile ossification was first described in humans in 1827, but remains a rare condition, with less than 40 documented cases reported. Its most common cause is Peyronie's disease, in which fibrous scar tissue forms in the penis; it can also result from trauma, end-stage kidney disease, or other conditions that lead to excess calcium in the body.
"The treatment of penile ossification depends on the degree of bone disease and the patient's symptoms," George El Hasbani of the American University of Beirut and his colleagues explain in their case report.
"Those with annoying acute pain or chronic mild pain may be managed with oral analgesics, topical agents, intralesional injections, mechanical stretching or vacuum devices, and extracorporeal shockwave therapy. Severe cases of chronic dysfunction or erectile dysfunction. surgically. "
Penis ossification is actually more common in aging dogs, but dogs already have bone in their penis. In fact, most mammal species do.
This has led some scientists to speculate whether it may occur in humans due to evolutionary rejection, but the condition has lately accepted it as a strangeness in the fibrous tissues of our bodies.
"The human body is able to form bone tissue or cartilage at sites affected by pathological conditions when connective tissue is present," medical researchers explain in a literature review.
"Bone tissue is known to occur even in places that have nothing to do with the skeleton, including the mammary gland, salivary glands and testes."
This last of rare cases is documented in Case Reports urology .