Penile Dislocation: Symptoms, Risks, and Treatment Options

Possible penile dislocation?

Hello, Doctor.
Yesterday, I saw online instructions for a penis enlargement massage, which involved using an "OK" hand gesture to grip the penis and slowly reduce the grip while gently pulling upwards.
At the time, I felt the penis becoming softer, but after continuing to manipulate it, I was still able to achieve an erection and ejaculate.
However, by the evening, I noticed that the penis had shrunk to about half its normal size, and there was a slight delay when urinating.
The main issue is that I cannot achieve an erection while watching adult films; I can feel arousal, but there is no engorgement.
The penis feels close to the scrotum, and it only enlarges when I manually stimulate it.
Today, I noticed that I still have sexual desire but cannot achieve an erection, and when I do, its length is shorter than before.
There is slight resistance when urinating, and I occasionally feel a small pain at the urethral opening, with the scrotum feeling more droopy.

I would like to ask the doctor:
1.
I read about a condition called penile dislocation, as I was gripping and pulling it upwards while erect.
Although the process was painless, the delayed urination and penile retraction seem similar to dislocation symptoms.
Do you think my condition could be this?
2.
Should I go directly to the emergency room? If so, how should I explain my situation?
3.
I can only get an appointment at a major hospital in four days.
Will this delay cause me to miss the critical treatment window? I heard that surgery may involve suturing the penis back into position.
If I undergo surgery, will I be able to fully regain its original function?
4.
When I visit the major hospital, will they require tests on the same day? Should I fast for eight hours before the appointment? If I am taking medication prescribed by a clinic to promote blood circulation, should I stop taking it beforehand? I am worried that I might have to wait until the next visit for testing.

5.
I went to a small clinic today, and they prescribed me medication to promote blood circulation.
However, I heard that if it is penile dislocation, it is best not to allow it to become erect or engorged.
The clinic doctor seemed quite casual in their approach.
Should I continue taking this medication?

A-Hsun, 20~29 year old female. Ask Date: 2020/06/30

Dr. Liu Mingyue reply Urology

It is recommended that you seek medical attention.
Wishing you good health.

Reply Date: 2020/06/30

More Info

Understanding penile dislocation, especially in the context of your recent experience, is crucial for addressing your symptoms and concerns. Penile dislocation, while not a common term, generally refers to a condition where the penis is displaced from its normal anatomical position, often due to trauma or excessive manipulation. This can lead to various complications, including pain, erectile dysfunction, and urinary issues.

1. Symptoms and Assessment: Based on your description, it seems you are experiencing symptoms that could be associated with penile dislocation or trauma. The fact that you have noticed a significant change in size, delayed urination, and pain during urination are concerning signs. While penile dislocation typically involves a more acute injury, the manipulation you described could have led to a temporary displacement or trauma to the erectile tissues or surrounding structures. It is essential to have a healthcare professional assess your condition to determine the exact nature of your injury.

2. Emergency Care: Given your symptoms, it would be prudent to seek medical attention as soon as possible. If you feel that your condition is worsening or if you experience severe pain, difficulty urinating, or any signs of infection (such as fever or unusual discharge), you should go to the emergency room. When you arrive, you can explain your situation by saying, "I have been experiencing significant changes in my penile function and some pain after manipulating my penis, and I'm concerned about possible injury or dislocation."
3. Timing for Treatment: You mentioned that it might take four days to see a specialist. While it is ideal to seek treatment sooner, it is not uncommon for certain conditions to be evaluated after a few days. However, if you notice worsening symptoms, do not hesitate to seek immediate care. Early intervention can be crucial in preventing complications such as urethral injury or erectile dysfunction.

4. Diagnostic Procedures: When you visit a larger hospital, the physician will likely perform a physical examination and may order imaging studies, such as an ultrasound, to assess the blood flow and structural integrity of the penis. You typically do not need to fast for this type of examination, but it is best to confirm with the hospital beforehand. If you are taking any medications, including those for promoting blood circulation, inform the doctor about them. It is essential to follow their advice regarding whether to continue or discontinue these medications before your visit.

5. Medication Concerns: Regarding the medication prescribed by the small clinic, if you suspect that you may have a penile dislocation or significant injury, it is generally advisable to avoid medications that promote blood flow or erections until a proper evaluation is done. These medications could exacerbate any underlying issues. It is best to discuss this with the healthcare provider at the hospital to ensure you are receiving appropriate care.

In summary, your symptoms warrant prompt medical evaluation. Do not hesitate to seek emergency care if you feel your condition is urgent. Proper assessment and treatment are essential to ensure that any potential injury is addressed effectively, and to minimize the risk of long-term complications.

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