Pain and Curvature in the Penis After Masturbation - Urology

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Masturbation issues


Hello doctor, every time I ejaculate during masturbation, the next erection is accompanied by a tight, swollen pain in my penis (the masturbation lasts about 10-15 minutes).
Additionally, the head of my penis tilts to the left by about 30 degrees.
Could the pain be caused by the curvature of my penis? Is there a need for surgical correction of the penis? (I am also worried that sexual intercourse might be uncomfortable.)

Dàxuéshēng, 10~19 year old female. Ask Date: 2020/12/27

Dr. Li Xinyi reply Urology


It is normal to experience discomfort in the pelvis or the penis after ejaculation; however, if the activity is too rough, it can lead to injury to the penis.
Sometimes this can result in lymphadenitis, and in some cases, it may even cause the penis to curve, as you mentioned.
As for whether surgery is necessary for the curvature, it generally depends on whether there are difficulties or discomfort during intercourse.
If so, it is advisable to consult a physician for evaluation and discussion.

Reply Date: 2020/12/27

More Info


Understanding pain and curvature in the penis after masturbation can be a concerning issue for many individuals. The symptoms you describe—pain during erections following masturbation and a noticeable curvature of the penis—can arise from several factors, and it’s essential to approach this topic with both medical insight and sensitivity.

Firstly, the pain you experience after ejaculation could be attributed to a few potential causes. One common reason is the phenomenon known as "post-ejaculatory pain syndrome," which can occur due to muscle tension or irritation of the nerves in the pelvic region. During masturbation, the pelvic muscles contract, and after ejaculation, these muscles may remain tense, leading to discomfort during subsequent erections. Additionally, if you are engaging in vigorous masturbation, it may cause temporary trauma or irritation to the penile tissues, resulting in pain.

The curvature of the penis, particularly if it is significant (like the 30-degree angle you mentioned), could be indicative of a condition known as Peyronie's disease. This condition is characterized by the formation of fibrous scar tissue inside the penis, which can cause it to bend during erections. Peyronie's disease can develop after trauma to the penis, but it can also occur without any identifiable injury. The curvature itself may not necessarily cause pain, but if it is accompanied by discomfort or if it affects sexual function, it may warrant further evaluation.

Regarding the need for surgical intervention, it is crucial to consider several factors. Surgery for penile curvature is typically reserved for cases where the curvature is severe enough to interfere with sexual function or cause significant pain. If your curvature is not causing you discomfort during erections or interfering with sexual activity, conservative management may be recommended. This could include monitoring the condition, engaging in pelvic floor exercises, or using medications to manage pain and inflammation.

It is also important to note that psychological factors can play a role in your experience. Anxiety about sexual performance or discomfort can exacerbate physical symptoms. Therefore, addressing any underlying anxiety or stress related to sexual activity may also be beneficial.

In summary, while the pain you are experiencing after masturbation and the curvature of your penis can be concerning, they are not uncommon issues. It is advisable to consult with a urologist or a healthcare professional specializing in sexual health to receive a thorough evaluation. They can provide a proper diagnosis and discuss potential treatment options tailored to your specific situation. If surgery is deemed necessary, they will explain the risks and benefits involved.

In the meantime, consider practicing relaxation techniques and pelvic floor exercises to help alleviate tension in the pelvic area. Additionally, ensure that you are engaging in masturbation with adequate lubrication and gentleness to minimize the risk of irritation or injury. Remember, open communication with a healthcare provider is key to addressing your concerns and finding a path toward relief and comfort.

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