Enlarged Penile Veins: Causes, Symptoms, and When to Seek Help

Penile issues - Penile vascular enlargement?

Hello, doctor.
A few days ago, I suddenly noticed a blood vessel on my penis that has inexplicably swollen and has not subsided for several days.
It becomes more prominent during an erection, and I feel some discomfort.
I have a past medical history of varicocele; I wonder if this is related.
Should I seek medical attention? What kind of symptoms might this indicate? Thank you for taking the time to read and respond, and thank you once again.

A-Bao, 20~29 year old female. Ask Date: 2019/01/31

Dr. Du Mingyi reply Urology

Typically, inflammation of the penile veins is not related to varicocele and usually resolves on its own, although it may take a bit longer, possibly 1 to 2 months.
If there is no severe discomfort, it is advisable to leave it alone and allow it to heal on its own.

Reply Date: 2019/01/31

More Info

Enlarged penile veins can be concerning, especially when accompanied by discomfort or changes in appearance. It's important to understand the potential causes, symptoms, and when to seek medical help.

Causes of Enlarged Penile Veins
1. Varicocele: This condition, which you've mentioned having a history of, involves enlarged veins in the scrotum and can sometimes extend to the penile area. Varicoceles are often associated with blood pooling due to improper valve function in the veins.

2. Venous Insufficiency: This occurs when the veins cannot effectively return blood to the heart, leading to swelling and discomfort. This can happen in the pelvic region and may affect the veins in the penis.

3. Injury or Trauma: Any recent trauma to the genital area can lead to swelling of the veins. This could be from vigorous sexual activity, sports, or other physical activities.

4. Infection or Inflammation: Conditions like thrombophlebitis (inflammation of a vein due to a blood clot) can cause localized swelling and discomfort. Infections in the genital area can also lead to swelling of the veins.

5. Hormonal Changes: Fluctuations in hormone levels can affect blood flow and vein size, potentially leading to noticeable changes in the veins of the penis.

Symptoms to Watch For
- Visible Swelling: Enlarged veins that are prominent and may feel hard or tender.

- Discomfort or Pain: Any pain that is persistent or worsens with activity should be taken seriously.

- Changes During Erection: If the swelling becomes more pronounced during an erection, this could indicate a vascular issue.

- Skin Changes: Look for any discoloration, warmth, or signs of infection (such as pus or increased redness).

When to Seek Help
You should consider seeking medical attention if you experience any of the following:
- Persistent Swelling: If the swelling does not subside after a few days.

- Severe Pain: If the discomfort becomes severe or is accompanied by other symptoms like fever.

- Changes in Urination: Any difficulty or pain during urination.

- Signs of Infection: Such as fever, chills, or unusual discharge.

Conclusion
Given your history of varicocele and the recent changes you've observed, it would be prudent to consult a healthcare professional. A urologist can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the blood flow and structure of the veins in the area. Early intervention can help prevent potential complications, such as chronic pain or fertility issues.

In summary, while enlarged penile veins can sometimes be benign, your symptoms warrant a thorough evaluation to rule out any serious underlying conditions. Don't hesitate to seek medical advice; it's always better to be safe and informed about your health.

Similar Q&A

Understanding Penile Varicosities: Causes, Symptoms, and Treatment Options

I have recently noticed that a vein on the right side of my penis is particularly enlarged and clearly visible, and it feels slightly painful. I would like to know if this could be penile varicosity and how it should be managed. Is treatment necessary? Could this be related to ex...

Dr. Du Shixi reply Urology
Hello: Please seek medical attention first, pay attention to circulation; DIY activities and sexual behavior are not closely related. Wishing you good health.

Understanding Penile Varicosities: Causes, Symptoms, and Treatment

I have recently noticed that the blood vessels at the base of my penis have become enlarged, and they feel firm but not painful. Normally, there is no pain, but the vessels are noticeably thick. Additionally, I have been experiencing some difficulties with erectile function, some...

Dr. Cai Zhuorong reply Urology
Penile venous leakage is indeed one of the causes of erectile dysfunction. After diagnosis through a dual-chamber penile cavernosography, penile venous ligation surgery may be considered.

Understanding Penile Vascular Enlargement: Causes, Symptoms, and Treatments

Hello Doctor: About two weeks ago, after an episode of masturbation, I noticed vascular dilation on the ventral side of the foreskin, which feels hard and painful when touched. The blood vessels appear to be serpentine in shape. When not erect, it looks like the image provided, s...

Dr. Du Shixi reply Urology
Hello: It doesn't seem to be blood stasis or bruising; it may be edema due to poor circulation. Since it has not improved for two weeks, please seek medical attention, as a physician's examination is necessary for treatment. In the meantime, engage in moderate exercise,...

Understanding Penile Lymphangitis: Symptoms, Causes, and Treatment Options

Hello Dr. Du, in mid-June this year, I noticed a worm-like swelling resembling a blood vessel on my penis. I have consulted several doctors, and they all said it is likely penile lymphangitis, advising me to rest more and avoid excessive stimulation as it would resolve on its own...

Dr. Du Shixi reply Urology
Hello: The duct has been dilated, and recovery is not very easy; it is not impossible to recover, but the issue is that it is difficult to control the occurrence during erection. Wishing you good health.