Penile Injury: Effects on Erection Size and Function

Penile fracture?

Hello doctor, about a year ago, around mid-October, I had sexual intercourse one night and accidentally bent my penis during the act.
It was quite painful at the moment, but I continued.
After a while, there was still some slight pain and a feeling of discomfort, but I went to sleep, and when I woke up, it felt better and was not very painful.
Recently, I've noticed that my penis seems to be slightly smaller when erect compared to before.
I'm not sure if it's just my perception or if the previous bending could have affected the length of my erection.

Nìmíng, 20~29 year old female. Ask Date: 2021/06/17

Dr. Fu Shizhang reply Urology

Unless there is an injury to the corpus cavernosum, online consultations cannot replace an in-person examination and physical assessment by a physician.
In the case of illness, it is still recommended to seek medical care at a healthcare facility.

Reply Date: 2021/06/17

More Info

Penile injuries, particularly those resulting from trauma during sexual activity, can have various effects on erectile function and size. In your case, it sounds like you experienced a significant amount of pain at the time of the injury, which is not uncommon. The immediate pain and discomfort you felt could be attributed to the trauma inflicted on the penile tissues, which may include the skin, blood vessels, and possibly the erectile tissues themselves.

When it comes to the potential long-term effects of such an injury, there are a few key points to consider. First, penile trauma can lead to conditions such as penile fracture, which occurs when the tunica albuginea (the fibrous envelope of the erectile bodies) is ruptured. This is a serious condition that typically requires surgical intervention. However, if you did not experience significant swelling, bruising, or deformity immediately following the injury, it is less likely that you sustained a fracture.

Another possibility is that the injury could have caused some degree of scarring or fibrosis in the erectile tissues. This scarring can sometimes lead to a reduction in the elasticity of the tissues, which may affect the size and rigidity of erections. Additionally, psychological factors such as anxiety about the injury can also play a role in perceived changes in erectile function. It's not uncommon for individuals to feel that their erections are smaller or less firm after experiencing a traumatic event, even if there is no physical change.

If you are noticing a persistent change in the size or function of your erections, it is advisable to consult with a healthcare professional, preferably a urologist. They can perform a thorough examination and may recommend imaging studies to assess any potential damage to the penile structures. In some cases, treatments such as penile rehabilitation or therapy may be beneficial in restoring function and alleviating any psychological concerns.

Moreover, it is essential to consider other factors that can affect erectile function, such as hormonal levels, overall health, and lifestyle choices. Stress, anxiety, and depression can significantly impact sexual performance, so addressing these aspects may also be crucial in your situation.

In summary, while it is possible that the trauma you experienced could have had an impact on your erectile function and size, it is essential to seek a professional evaluation to determine the exact cause of your symptoms. Early intervention can often lead to better outcomes, so do not hesitate to reach out for medical advice if you have ongoing concerns.

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