Penile Curvature After Injury: Seeking Medical Advice - Urology

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It sounds like you are experiencing significant discomfort and changes in your penile function following an injury that occurred during masturbation. Based on your description, it seems you may have sustained some form of trauma to the penile tissue, which could potentially involve the tunica albuginea, the fibrous sheath surrounding the erectile tissue.
When a sudden force is applied to an erect penis, it can lead to a condition known as penile fracture, although this typically involves a rupture of the tunica albuginea and is often accompanied by swelling and bruising. In your case, since there is no visible swelling or bruising, it is possible that you may have experienced a less severe injury, such as a strain or a minor tear, which might not be immediately apparent on physical examination or ultrasound.

The curvature you are experiencing, especially if it is pronounced during erection, could be indicative of a condition known as Peyronie's disease, which is characterized by the development of fibrous scar tissue inside the penis, leading to curved, painful erections. This condition can develop after trauma, and while it may resolve on its own in some cases, it can also persist and lead to further complications if not addressed.

Given the symptoms you are describing—pain during erections, difficulty achieving full erection, and the curvature—it is crucial to seek further evaluation from a urologist who specializes in sexual medicine or penile injuries. They may recommend imaging studies, such as a Doppler ultrasound, to assess blood flow and any potential damage to the erectile tissue.
In the meantime, here are some recommendations:
1. Avoid Sexual Activity: Until you have a clearer understanding of the injury, it is advisable to refrain from any sexual activity, including masturbation, to prevent further injury.

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

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the degree of curvature, pain levels, and any changes in erectile function. This information will be valuable for your healthcare provider.

4. Consult a Specialist: If your symptoms persist or worsen, it is essential to see a urologist. They may suggest treatments ranging from medication to surgical options, depending on the severity of the injury and the degree of curvature.

5. Avoid Self-Diagnosis: While it is understandable to seek information online, self-diagnosing can lead to unnecessary anxiety. Trust the expertise of medical professionals who can provide a thorough evaluation.

In summary, while your initial examinations did not reveal any significant issues, the symptoms you are experiencing warrant further investigation. It is essential to address these concerns promptly to prevent potential complications and to ensure your sexual health is preserved.