Penile Vein Swelling and Burning Sensation: Causes and Concerns - Urology

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Penile vascular protrusion accompanied by a burning sensation?


Hello doctor, for about the past week, I have noticed that the veins on my penis have been persistently engorged.
Initially, I thought this was normal, but as the engorgement worsened, I began to feel a burning sensation throughout my penis.
After urinating, I sometimes experience a sensation of incomplete emptying (I have to apply pressure to the perineal area to fully void).
Occasionally, there is also a burning sensation in the penis, along with a dull feeling in my lower abdomen and scrotum (near the perineum and spermatic cord).
Prior to this, I had inflammation of the glans due to incomplete urination, which was treated with medication by a doctor.
About a week after completing that treatment, these new symptoms began.
Could this be a continuation of the previous inflammation, or is it possible that another area has become infected? What areas could be infected, or could this indicate another urinary system issue?

NAS, 30~39 year old female. Ask Date: 2020/07/03

Dr. Du Shixi reply Urology


Hello: If there are issues with urination, it could be related to the urethra, bladder, or prostate, and it is essential to seek medical attention.
Currently, drink plenty of water, avoid spicy and irritating foods and beverages, and do not hold in urine.
Practice safe sexual behavior.
As for the relationship with the glans, it is difficult to say; it is possible that there was an infection at the same time, but now the urinary symptoms have become more pronounced.
It could also be that the previous issue was never fully resolved, or there may be a new problem.
It is best to consult a doctor.
Wishing you good health.
Please also pay attention to your lifestyle.

Reply Date: 2020/07/03

More Info


The symptoms you are experiencing, including penile vein swelling, a burning sensation, and a feeling of incomplete urination, can be concerning and may indicate several underlying issues. It is important to understand that these symptoms can arise from various causes, and a thorough evaluation by a healthcare professional is essential for accurate diagnosis and treatment.

Firstly, the swelling of the veins in the penis, also known as penile venous engorgement, can occur due to increased blood flow during arousal or physical activity. However, if this swelling persists and is accompanied by discomfort or burning sensations, it may suggest an underlying issue such as inflammation or infection.

The burning sensation you describe could be related to several factors. One possibility is that it is a continuation of the inflammation you experienced previously. If you had an infection or inflammation of the glans (the head of the penis) due to poor hygiene, it is possible that the inflammation has spread or that there is residual irritation. This can lead to symptoms such as burning, swelling, and discomfort.

Another potential cause of your symptoms could be a urinary tract infection (UTI) or a sexually transmitted infection (STI). UTIs can cause burning during urination, a feeling of incomplete bladder emptying, and discomfort in the lower abdomen. STIs, such as gonorrhea or chlamydia, can also present with similar symptoms, including burning sensations and swelling.

The sensation of not fully emptying your bladder, especially if you have to apply pressure to the perineal area to achieve complete urination, could indicate a blockage or inflammation in the urinary tract. This could be due to an infection, inflammation of the urethra (urethritis), or other conditions affecting the urinary system.

It is also important to consider other potential causes, such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, leading to curvature and discomfort. However, this condition typically presents with different symptoms, including pain during erections and changes in the shape of the penis.

Given the complexity of your symptoms and the potential for various underlying conditions, it is crucial to seek medical attention. A healthcare provider will likely perform a physical examination, review your medical history, and may order laboratory tests, such as urinalysis or swabs, to identify any infections. Imaging studies may also be considered if there is suspicion of anatomical issues.

In summary, the symptoms you are experiencing could be related to a continuation of previous inflammation, a new infection, or other urinary system issues. It is essential to consult with a healthcare professional for a comprehensive evaluation and appropriate treatment. Early intervention can help prevent complications and ensure a better outcome.

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