Head Injury During Masturbation: When to Seek Medical Help - Urology

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Skin abrasion on the glans during masturbation?


During a shower, I accidentally caused bleeding on the glans by using soap and scrubbing too hard.
After washing, I noticed some bleeding on the underside of the glans near the urethral opening, which doesn't come off with tissue.
Should I seek medical attention immediately, or can I just refrain from masturbation for now? I'm feeling very anxious.
Also, what are the criteria for determining if a circumcision is necessary for phimosis? Thank you for your help.

Niming, 10~19 year old female. Ask Date: 2016/04/23

Dr. Li Xinyi reply Urology


If you have a wound, it's important not only to rest but also to see a doctor.
Otherwise, what will happen if the wound becomes infected? If there is an issue with the foreskin, surgical intervention may be necessary.
It is advisable to consult a urologist for an examination and discuss the situation with the physician on-site.

Reply Date: 2016/04/23

More Info


When it comes to head injuries, especially those that occur during activities such as masturbation or any other physical activity, it is crucial to understand the potential risks and when to seek medical attention. In your case, it seems you are concerned about an injury to the glans (the head of the penis) rather than a head injury, but I will address both aspects of your question.


Understanding Head Injury
If you were to experience a head injury during any activity, including masturbation, it is essential to monitor for symptoms that may indicate a more serious condition. These symptoms include:
1. Loss of Consciousness: If you lose consciousness, even briefly, it is crucial to seek medical help immediately.

2. Severe Headache: A headache that worsens over time or is accompanied by nausea or vomiting can be a sign of a concussion or more severe brain injury.

3. Confusion or Disorientation: If you feel confused, have difficulty concentrating, or experience memory loss, these could be signs of a concussion.

4. Vision Changes: Blurred or double vision, or any other visual disturbances, should be evaluated by a healthcare professional.

5. Balance Issues: Difficulty walking or maintaining balance can indicate a serious injury.

6. Seizures: Any seizure activity following a head injury is a medical emergency.

If you experience any of these symptoms after a head injury, it is essential to seek medical attention promptly.


Addressing Your Current Concern
In your situation, you mentioned that you accidentally caused bleeding on the glans due to vigorous cleaning. Here are some steps to consider:
1. Assess the Injury: If the bleeding is minor and you can manage it with gentle cleaning and applying a clean bandage, you may not need immediate medical attention. However, if the bleeding persists or worsens, you should seek medical help.

2. Avoid Further Irritation: Refrain from any activities that may irritate the area further, including masturbation, until the injury has healed.

3. Monitor for Signs of Infection: Watch for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, consult a healthcare provider.


When to Seek Medical Help
If the bleeding does not stop after a reasonable amount of time (e.g., 10-15 minutes of gentle pressure), or if you experience severe pain, swelling, or any signs of infection, you should seek medical attention. It is better to err on the side of caution when it comes to injuries in sensitive areas.


Regarding Phimosis (Foreskin Issues)
You also asked about the standards for when circumcision is necessary for phimosis (a condition where the foreskin cannot be easily retracted). Here are some guidelines:
1. Symptoms of Phimosis: If you experience pain during erections, difficulty urinating, or recurrent infections due to a tight foreskin, these are indications that circumcision may be necessary.

2. Age Considerations: In infants and young children, phimosis is often normal and resolves on its own. However, if it persists into adolescence or adulthood and causes problems, surgical intervention may be recommended.

3. Consultation with a Urologist: If you have concerns about your foreskin or if you are experiencing symptoms, it is best to consult a urologist. They can provide a thorough evaluation and discuss the best treatment options for your situation.

In conclusion, while minor injuries can often be managed at home, it is essential to be vigilant about any changes or worsening symptoms. If in doubt, seeking medical advice is always a prudent choice. Your health and well-being should always come first.

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