Penile Pain: Causes and Concerns After Injury - Urology

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It sounds like you are experiencing significant discomfort following an injury to your penis, which occurred when you accidentally bumped into a table while in an erect state. The symptoms you describe, including persistent pain, sensitivity, and discharge from the urethra, warrant careful consideration and potentially a medical evaluation.


Possible Causes of Your Symptoms
1. Trauma to the Penis: The impact from the table could have caused trauma to the penile tissue, leading to pain and sensitivity. This type of injury can sometimes result in bruising or minor tears in the skin or underlying tissues, which might explain the pain and sensitivity you are experiencing.

2. Urethral Injury: Given that you are experiencing discharge from the urethra, there is a possibility of a urethral injury or infection. Trauma can sometimes lead to inflammation or even a tear in the urethra, which could cause pain and discharge. The white or yellow discharge you mentioned could indicate an infection, such as urethritis.

3. Skin Irritation or Infection: The peeling of the skin on the glans (the head of the penis) could be a sign of irritation, which might be due to friction from clothing or an infection. Conditions like balanitis (inflammation of the glans) can cause similar symptoms, including pain, discharge, and skin changes.

4. Psychological Factors: Sometimes, anxiety or stress related to the injury can exacerbate the perception of pain. If you are worried about the injury, it may heighten your sensitivity to discomfort.


Recommendations
1. Avoid Further Irritation: Until you can see a healthcare provider, try to minimize any activities that might irritate the area further. This includes avoiding tight clothing and any activities that could cause friction.

2. Hygiene: Maintain good hygiene to prevent any potential infections. Gently clean the area with mild soap and water, and avoid using any harsh chemicals or irritants.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate some of the pain. However, be sure to follow the recommended dosages and consult with a pharmacist if you have any concerns.

4. Seek Medical Attention: Given that your symptoms have persisted for two days without improvement, it is crucial to seek medical attention as soon as possible. A healthcare provider can perform a physical examination and may recommend tests such as a urinalysis or imaging studies to assess for any underlying injuries or infections.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, changes in discharge, or the development of new symptoms. This information will be helpful for your healthcare provider.


Conclusion
While it can be concerning to experience pain and other symptoms following an injury, many cases can be managed effectively with appropriate medical care. It is essential to address these symptoms promptly to prevent any potential complications. If you are unable to see a doctor immediately, consider reaching out to a telehealth service, which may provide you with the guidance you need without the need for an in-person visit. Your health and comfort are important, and seeking help is a proactive step towards recovery.