Post-Injury Urinary Issues and Erectile Dysfunction

Frequent urination after a strain injury?

Hello doctor, I first used a vacuum erection device on April 5th, and then used it again on April 7th, along with masturbation.
Starting on April 9th, I began to experience difficulty maintaining an erection (even after significant effort, the erection would soften and shorten within a minute, returning to its original state...).
From April 10th, I started searching online for various related information and began to observe the condition of my penis daily.

Firstly, on April 12th, a week later, I noticed a white soft lump on the left side of my penis, about 3 cm from the base.
It is not painful to touch; should I seek treatment? Then, on April 18th, two weeks later, I observed a 4 cm long, worm-like structure on the left side of my penis, which is also not painful to touch, and there are 2-3 prominent blood vessels visible on the surface (these vessels are very clearly visible when flaccid...).
Should I seek treatment for this as well?
After researching, it seems similar to symptoms of penile fibrosis and penile lymphangitis.
However, during the injury period (from April 12th to April 24th), I experienced an abnormal urge to urinate every 2.5 hours (almost at fixed intervals), regardless of how much urine was in my bladder.
The first urine in the morning had a burning sensation, while the rest did not feel as hot; what could be the cause of this?
Then, on April 25th, I finally found that I could achieve an erection (prior to the 25th, I was unable to even think about masturbation due to erectile dysfunction).
From the 25th until now, I have been urinating every 5-8 hours, which is similar to my pre-injury pattern, but the first urine in the morning still has a burning sensation.
What could be the reason for this?

Niming, 20~29 year old female. Ask Date: 2019/04/29

Dr. Cai Zhuorong reply Urology

There are various differential diagnoses for lumps on the penis.
It is recommended to consult a urologist for examination.
Vascular engorgement on the penis usually does not require treatment, but it is still advisable to have a physician visually assess it.
If there is a burning sensation during urination, urinary tract infection should be considered, and a routine urinalysis is recommended.

Reply Date: 2019/04/29

More Info

It sounds like you are experiencing a complex set of symptoms following the use of a vacuum erection device and subsequent sexual activity. These symptoms include erectile dysfunction, unusual sensations in the penis, and urinary issues. Let's break down these concerns and address them systematically.

Erectile Dysfunction
Erectile dysfunction (ED) can occur for various reasons, including psychological factors, physical injury, or vascular issues. The use of a vacuum device can sometimes lead to temporary changes in erectile function, especially if there was any trauma or excessive pressure applied to the penis. The fact that you experienced difficulty maintaining an erection shortly after using the device could indicate a temporary physiological response to the device or a psychological reaction to the experience.

The appearance of a soft lump on the left side of the penis and the subsequent development of a worm-like structure could be indicative of Peyronie's disease, which is characterized by the formation of fibrous scar tissue inside the penis, leading to curved, painful erections. However, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan, as these symptoms can vary significantly in their implications.

Urinary Issues
Your urinary symptoms, including the urgency to urinate every 2.5 hours and the burning sensation during urination, are concerning. The urgency could be related to several factors, including irritation of the bladder, urinary tract infection (UTI), or even psychological stress related to your recent experiences. The burning sensation, particularly in the morning, may suggest a UTI or inflammation of the urinary tract, which can occur after physical trauma or irritation.

As you noted that your urinary frequency has normalized since April 25, this could indicate that your body is recovering from the initial trauma or irritation. However, the persistent burning sensation during urination should not be overlooked. It is crucial to have this evaluated by a healthcare provider, as untreated infections can lead to more severe complications, including kidney issues.

Recommendations
1. Consult a Urologist: Given the complexity of your symptoms, it is advisable to see a urologist who can perform a thorough examination. They may recommend imaging studies or laboratory tests to assess for any underlying conditions, such as Peyronie's disease or a urinary tract infection.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including the size and texture of the lump, the nature of your erections, and any urinary changes. This information will be valuable for your healthcare provider.

3. Avoid Irritants: Until you have been evaluated, it may be wise to avoid any activities that could further irritate the area, including the use of vacuum devices or any sexual activity that causes discomfort.

4. Hydration and Hygiene: Ensure you are well-hydrated and maintain good hygiene to help prevent urinary tract infections. If you suspect a UTI, increasing fluid intake can help flush out bacteria.

5. Psychological Support: If you find that your symptoms are causing significant anxiety or distress, consider speaking with a mental health professional. Psychological factors can play a significant role in sexual health and urinary function.

In conclusion, while some of your symptoms may resolve on their own, it is essential to seek medical advice to rule out any serious conditions and to receive appropriate treatment. Your health and well-being are paramount, and addressing these issues with a qualified healthcare provider will help you find the answers and relief you need.

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