Penile issues
Two weeks ago, I slipped at work and lost my footing on the stairs, causing an impact to my groin area.
At that moment, I noticed bruising on my scrotum, and while my penis was impacted, there were no external injuries or bruising.
Urination has been normal.
That night, I experienced pain and took pain relievers along with applying ice.
Subsequently, I developed extensive bruising on my penis and scrotum, and I also felt pulling pain on both sides of my groin for about three days.
After that, the bruises healed, but recently during intercourse, I noticed that my penis doesn't seem to be as firm as it used to be, although I can still achieve ejaculation.
I would like to know if this is due to not fully recovering after two weeks or if I might have injured something that requires medical examination.
SK, 30~39 year old female. Ask Date: 2021/08/09
Dr. Du Shixi reply Urology
Hello: You should seek a comprehensive evaluation at the hospital.
Wishing you good health.
Reply Date: 2021/08/09
More Info
Penile injuries, while not often discussed, can be quite concerning and may require medical attention depending on the severity and symptoms presented. Based on your description, it seems that you experienced a significant impact to the genital area, resulting in bruising of the scrotum and penis, as well as some discomfort in the groin region. Here’s a breakdown of what you might be experiencing and when you should seek further medical help.
Understanding Your Symptoms
1. Bruising and Pain: The bruising you experienced is a common response to trauma. The body responds to injury by sending blood to the area, which can cause discoloration and swelling. The pain you felt initially is also a normal reaction to trauma. Since you mentioned that the bruising has subsided, this is a positive sign indicating that your body is healing.
2. Changes in Erection Quality: The fact that you noticed a difference in the firmness of your erections could be related to several factors. After an injury, it’s not uncommon for there to be temporary changes in erectile function. This can be due to psychological factors (anxiety about the injury), physical factors (swelling or bruising affecting blood flow), or even hormonal changes.
3. Normal Urination: The fact that you are able to urinate normally is a good sign. It suggests that there is no significant damage to the urethra or other structures involved in urination.
Recovery Timeline
Recovery from minor penile injuries can vary from person to person. Generally, bruising and tenderness can take a few weeks to resolve completely. Given that you are two weeks post-injury and have seen improvement in your bruising, it is likely that you are on the right track to recovery. However, the changes in erection quality may take a bit longer to normalize, especially if there was significant trauma.
When to Seek Medical Help
While many penile injuries can heal on their own, there are certain signs that indicate it’s time to seek medical attention:
- Persistent Pain: If you continue to experience significant pain that does not improve or worsens over time, it’s advisable to consult a healthcare provider.
- Erection Issues: If the changes in the firmness of your erections persist beyond a few weeks or worsen, it may be worth discussing with a doctor. Erectile dysfunction following trauma can sometimes indicate underlying issues that need to be addressed.
- Swelling or Discoloration: If you notice any new swelling, discoloration, or if the area becomes warm to the touch (which could indicate infection), you should seek medical attention.
- Difficulty Urinating: Any changes in urination, such as difficulty starting or stopping, pain during urination, or blood in the urine, warrant immediate medical evaluation.
Conclusion
In summary, while it seems that you are healing well from your injury, it’s important to monitor your symptoms closely. If you experience any concerning changes or if the issues with erection quality persist, do not hesitate to seek medical advice. A healthcare professional can provide a thorough examination and may recommend further tests, such as an ultrasound, to ensure that there are no underlying injuries that need to be addressed. Remember, it’s always better to err on the side of caution when it comes to injuries in sensitive areas.
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