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 pain, sensitivity, and discharge from the urethra, are concerning and warrant careful consideration.

First and foremost, it is essential to understand that trauma to the penis can lead to various injuries, including bruising, lacerations, or even more severe conditions such as penile fracture, which is a rupture of the tunica albuginea, the fibrous covering of the erectile tissue. Although you did not notice any immediate abnormalities after the injury, the delayed onset of pain and other symptoms suggests that there may be underlying damage.

The presence of a yellowish-white discharge from the urethra, especially if it is accompanied by pain, could indicate an infection, such as urethritis. Urethritis can occur due to various causes, including sexually transmitted infections (STIs) or non-infectious causes. The peeling of the skin on the glans (the head of the penis) may also suggest irritation or inflammation, possibly due to friction or an allergic reaction to materials in your clothing or personal hygiene products.

Given that you are experiencing pain during erections and sensitivity while walking, it is crucial to avoid any activities that may exacerbate the injury, such as vigorous physical activity or sexual intercourse, until you can seek medical attention. Pain during an erection can be a sign of significant injury, and the inability to achieve a full erection may also indicate that the injury has affected the erectile tissues or blood flow.

While you mentioned that seeking medical care is challenging due to your current circumstances, it is highly advisable to consult a healthcare professional as soon as possible. A urologist would be the most appropriate specialist to evaluate your condition. They can perform a physical examination, possibly including imaging studies, to determine the extent of the injury and recommend appropriate treatment.

In the meantime, here are some general recommendations to manage your symptoms:
1. Rest: Avoid any activities that could further irritate the area. This includes avoiding tight clothing that may cause friction.

2. Cold Compress: Applying a cold compress to the area may help reduce swelling and alleviate pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and inflammation. However, ensure that you follow the recommended dosages and consult a pharmacist if you have any concerns.

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

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, changes in discharge, or any new symptoms that may arise.

In conclusion, while it is understandable that you may want to wait until you can return home for medical care, it is essential to prioritize your health and seek professional evaluation sooner rather than later. Delaying treatment could lead to complications, especially if there is an underlying injury or infection. Your well-being is paramount, and addressing these symptoms promptly will help ensure a better outcome.