Penile Injury: Symptoms, Concerns, and Recovery

Q: Penile Injury: Symptoms, Concerns, and Recovery

Hello： It cannot be said that there is definitely no injury, but more severe injuries will result in bruising, swelling, pain, and deformity, making it unlikely to be tolerated at home; medical attention is needed, and if there are no outpatient services available, one would go t

The penis has been bent or injured?

Doctor, I apologize for the interruption, but I would like to ask a question.
On May 29th, while playing basketball, my penis was in a flaccid state but was pressed down by a defender, causing it to bend upwards.
It was a bit painful at the moment, but after resting for a while, it felt better.
However, the next morning, I wanted to check if my ejaculation function was still okay, so I engaged in masturbation.
Since then, I have been feeling a bit of weakness in the mid-shaft to the base of my penis, and it feels strange.
I would like to know if this is due to the bending causing injury to the erectile tissue, or if there might be a fracture.
I'm really worried about whether this could affect my future fertility.
Unfortunately, it's a holiday now, and I can't see a doctor, so I hope you can respond to my concerns as soon as possible.
Thank you.

Qi Qi, 10~19 year old female. Ask Date: 2020/05/30

Dr. Du Shixi reply Urology

Hello: It cannot be said that there is definitely no injury, but more severe injuries will result in bruising, swelling, pain, and deformity, making it unlikely to be tolerated at home; medical attention is needed, and if there are no outpatient services available, one would go to the emergency room.
If the injury is minor, it is unlikely to have a significant impact.
Wishing you good health.

Reply Date: 2020/05/30

More Info

I'm sorry to hear about your injury. It sounds like you experienced a traumatic event that could potentially lead to a penile injury, specifically to the erectile tissue known as the corpora cavernosa. When the penis is bent or compressed forcefully, it can cause a condition known as penile fracture, which is a rupture of the tunica albuginea, the fibrous sheath surrounding the erectile tissue.

Symptoms of Penile Injury
The symptoms of a penile injury can vary depending on the severity of the trauma. Common symptoms include:
1. Pain: Immediate pain at the site of injury, which may subside but can return with certain activities.

2. Swelling and Bruising: You may notice swelling or bruising around the shaft of the penis.

3. Deformity: A noticeable bend or deformity in the penis when erect.

4. Difficulty with Erection: You may experience difficulty achieving or maintaining an erection.

5. Loss of Sensation: A feeling of numbness or weakness in the penis, as you described.

Concerns Regarding Recovery
Given your description of feeling a "weakness" in the mid to base of the penis, it is important to consider the possibility of injury to the erectile tissue. While minor injuries may heal on their own, more severe injuries, especially those involving the tunica albuginea, may require medical intervention.

Potential Complications
1. Erectile Dysfunction: If the injury is severe, it could lead to long-term erectile dysfunction.

2. Curvature: If there is scarring or improper healing, it could result in a curvature of the penis during erection, known as Peyronie's disease.

3. Fertility Issues: While most penile injuries do not directly affect fertility, any trauma that leads to significant scarring or erectile dysfunction could potentially impact sexual function and, consequently, fertility.

What to Do Next
1. Rest and Avoid Sexual Activity: Until you can see a doctor, it’s advisable to avoid any sexual activity, including masturbation, to prevent further injury.

2. Ice the Area: If there is swelling, applying ice wrapped in a cloth for 15-20 minutes can help reduce inflammation.

3. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain, but be sure to follow the recommended dosages.

4. Seek Medical Attention: It’s crucial to see a healthcare provider as soon as possible. They may perform a physical examination and possibly imaging studies (like an ultrasound) to assess the extent of the injury.

Conclusion
While it’s understandable to feel anxious about the potential long-term effects of your injury, many penile injuries can heal well with appropriate care. However, it’s essential to get a professional evaluation to rule out serious injuries like a fracture or significant damage to the erectile tissue. If you experience severe pain, swelling, or any changes in urination, seek emergency medical care. Remember, early intervention can significantly improve outcomes and help alleviate concerns about future sexual function and fertility.

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