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A man got far more than he bargained for when he went to hospital with knee pain - doctors told him his penis was turning into bone.
The shock revelation came when the unnamed 63-year-old was admitted to Lincoln Medical and Mental Health Center, New York City, after suffering a fall and hurting his knee and head.
After carrying out an X-ray to check whether the patient had broken any bones, doctors saw that he had bone cells forming in the shaft of his manhood.
According to a case report in Urology Case Reports, doctors then told the man what they had found, but he ignored their advice, promptly left the hospital and did not return.
The report reads: "He was walking on the side walk with his cane when he fell onto his buttocks. He denied any head injury or loss of consciousness. He was able to get up with assistance, and to ambulate. Shortly thereafter, he started to have a left knee pain, and decided to present to the emergency department.
"Physical exam was negative except for a penile pain. He had no penile discharge, non-swollen prostate, no lymphadenopathy, and no costo-vertebral angle (CVA) tenderness.
It goes on: "A pelvic x-ray performed to rule out any fracture showed a severe, asymmetric degenerative changes of the right hip. An extensive, plaque-like calcification along the expected distribution of the penis was evident."
While cases of penile ossification are rare - fewer than 40 incidents reported in medical journals - it is not totally uncommon.
According to the report, the condition is usually the result of Peyronie's disease - which also causes a curve in the penis when erect. Tissue can turn to bone when calcium salts form in a specific area, this can be the result of a number of conditions, including kidney disease and cancer.
Depending on the severity of the case, treatment for diagnosis can range widely from medication and stretching, to shockwave therapy and surgery.
However, as the man reportedly left the medical centre and refused to take the advice offered by the doctors who dealt with him, it is not clear whether he has gone on to seek medical attention or treatment for his condition.
The report adds: "As performed in our case, a simple radiograph using X-ray can show a penile ossification of the entire shaft that could be secondary to PD.
"We couldn't assess the [causes] since our patient decided to leave against medical advice."
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