Penile Vascular Enlargement: Causes, Symptoms, and Treatments - Urology

More Info

---

Understanding penile vascular enlargement can be complex, as it involves various potential causes, symptoms, and treatment options. Based on your description, it seems you are experiencing a condition characterized by engorged blood vessels on the ventral side of the penis, which has persisted for two weeks and has not shown signs of improvement. The symptoms you describe, including the hardened texture of the blood vessels and pain upon pressure, warrant a thorough evaluation.


Possible Causes
1. Vascular Engorgement: The engorgement of blood vessels can occur due to increased blood flow during sexual arousal or physical stimulation, such as masturbation. If the blood vessels remain engorged for an extended period, it could lead to discomfort or pain.

2. Trauma or Injury: If there was any trauma during masturbation, it could cause localized swelling and engorgement of the blood vessels. This could also lead to bruising or hematoma formation, which might explain the hardness and pain you are experiencing.

3. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can lead to curvature, pain, and changes in the appearance of the blood vessels. While this typically presents with curvature during erection, it can also cause localized pain and engorgement.

4. Thrombophlebitis: This is the inflammation of a vein due to a blood clot, which can occur in superficial veins. Symptoms may include pain, swelling, and a hardened vein.

5. Infection or Inflammation: Conditions such as sexually transmitted infections (STIs) or other inflammatory conditions can lead to swelling and discomfort in the genital area.


Symptoms to Monitor
- Pain: Persistent pain, especially if it worsens or is accompanied by other symptoms like fever or discharge, should be evaluated.

- Swelling: If the swelling increases or spreads, it may indicate a more serious condition.

- Changes in Urination: Difficulty urinating or changes in urinary habits should be noted.

- Erection Issues: Any changes in the ability to achieve or maintain an erection should be discussed with a healthcare provider.


Diagnostic Approach
To determine the exact cause of your symptoms, a healthcare provider may recommend:
- Physical Examination: A thorough examination of the genital area to assess the extent of the engorgement and any other abnormalities.

- Ultrasound: A Doppler ultrasound can help evaluate blood flow in the area and identify any vascular issues or thrombosis.

- Blood Tests: To rule out infections or other underlying conditions.


Treatment Options
1. Rest and Observation: If the condition is due to minor trauma or temporary vascular engorgement, resting and avoiding further irritation may be sufficient.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort.

3. Cold Compress: Applying a cold compress to the area may reduce swelling and provide relief.

4. Avoiding Irritation: It may be advisable to reduce or temporarily stop masturbation until the symptoms resolve.

5. Medical Intervention: If the condition does not improve or worsens, further medical intervention may be necessary. This could include medications to reduce inflammation or, in some cases, surgical options if there is significant vascular damage or other complications.


Conclusion
Given the persistence of your symptoms and the potential for underlying vascular issues, it is crucial to consult a healthcare provider, preferably a urologist, for a comprehensive evaluation. They can provide a definitive diagnosis and recommend appropriate treatment based on the findings. Early intervention can help prevent complications and ensure a better outcome. Please do not hesitate to seek medical attention, especially if you experience worsening symptoms or new developments.