Painful Erection: Causes and Solutions - Urology

More Info

---

Experiencing painful erections can be distressing and may indicate an underlying medical issue that requires attention. Based on your description, it sounds like you may be dealing with a condition known as priapism, which is a prolonged and often painful erection that lasts for more than four hours and is not associated with sexual desire. However, your symptoms also suggest the possibility of a more acute issue, such as penile trauma or a vascular problem.

The pain you experienced, especially after holding in urine, could be due to several factors. One possibility is that the pressure from a full bladder can lead to increased blood flow to the penis, resulting in an erection that may become painful if it is prolonged or if there is any underlying vascular compromise. The presence of blood or bruising on the glans (the head of the penis) could indicate trauma, which might have occurred during the erection or from any prior activity.

Here are some potential causes of painful erections:
1. Priapism: As mentioned, this is a condition where the blood becomes trapped in the penis, leading to prolonged and painful erections. It can be caused by certain medications, blood disorders, or even recreational drug use.

2. Penile Trauma: If there was any injury to the penis, whether from vigorous sexual activity or an accident, this could lead to pain during erections. Bruising or swelling can occur, which may also explain the discoloration you observed.

3. Vascular Issues: Conditions that affect blood flow, such as atherosclerosis or blood clots, can lead to painful erections. These conditions can restrict blood flow or cause abnormal blood pooling in the penis.

4. Infections or Inflammation: Conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can lead to painful erections. Infections of the penis or surrounding areas can also cause pain.

5. Nerve Damage: Conditions that affect nerve function, such as diabetes or multiple sclerosis, can lead to painful sensations during erections.

Given the severity of your symptoms, it is crucial to seek medical attention promptly. A healthcare provider will likely perform a physical examination and may order tests such as blood tests, ultrasound, or other imaging studies to determine the underlying cause of your pain.
In the meantime, here are some general recommendations:
- Avoid Sexual Activity: Until you have been evaluated by a healthcare professional, it may be wise to refrain from sexual activity to prevent further injury or complications.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort, but consult with a healthcare provider before taking any medication.

- Hydration: Ensure you are well-hydrated, as dehydration can sometimes exacerbate issues related to blood flow.

- Monitor Symptoms: Keep track of any additional symptoms, such as swelling, changes in urination, or persistent pain, and report these to your healthcare provider.

In conclusion, painful erections can stem from various causes, and it is essential to address this issue with a qualified healthcare professional. Early intervention can help prevent complications and ensure appropriate treatment.