Penile Discomfort: Causes and When to Seek Help

Q: Penile Discomfort: Causes and When to Seek Help

Hello： Generally, there should be no injury; if there is, it may result in bruising and swelling. <br>The vas deferens should be located in both sides of the groin. <br>Wishing you good health.

Penile issues

Hello doctor, I have a small question to ask.
After ejaculation yesterday, I put on my pants while my penis was still erect, and I felt a bit of pressure on it at that moment.
Subsequently, I started to feel a slight pain on the right side at the base of my penis (not in the penis itself, but in the muscle on the right side at the base).
I have experienced this symptom occasionally in the past, but it hasn't happened in a long time.
This time, only the right side is uncomfortable while the left side feels normal.
There are no issues with frequent urination, and urination is not painful (the urine color is slightly yellow or clear), and the flow is normal, although there is a slight feeling of residual urine.
Could this be due to the pressure causing a mild muscle strain or slight soft tissue injury? Pressing on that area does not cause pain, but occasionally I feel a slight tearing sensation.
I plan to observe it, and if it doesn't improve, I will seek medical attention on Monday.
Is the area on the left and right sides at the base of the penis where the vas deferens is located? Thank you for your response, doctor!

Chen Tongxue, 20~29 year old female. Ask Date: 2021/10/28

Dr. Du Shixi reply Urology

Hello: Generally, there should be no injury; if there is, it may result in bruising and swelling.
The vas deferens should be located in both sides of the groin.
Wishing you good health.

Reply Date: 2021/10/28

More Info

Understanding penile discomfort can be a complex issue, as it can stem from various causes, ranging from minor injuries to more serious medical conditions. Based on your description, it seems that you experienced discomfort in the right side of the base of your penis after engaging in sexual activity, specifically after ejaculation. This discomfort, characterized by a slight pain in the muscle area rather than the penis itself, could indeed be related to a minor strain or soft tissue injury.

When you mentioned that you felt a bit of pressure on the penis after ejaculation and that the discomfort is localized to the right side, it is possible that the pressure from your clothing could have caused a mild muscle strain or irritation in the surrounding tissues. The pelvic region, including the area around the base of the penis, contains various muscles, nerves, and blood vessels, and any sudden movement or pressure can lead to temporary discomfort.
The fact that you do not have any urinary symptoms, such as pain during urination or changes in urine color, is a positive sign. It suggests that there may not be an underlying infection or significant issue with the urinary tract. The sensation of a "slight tearing" feeling could also indicate that the muscle or soft tissue is recovering from a minor strain, which is not uncommon after physical activity.

Regarding your question about the anatomy, the area you are referring to at the base of the penis does indeed include the location of the vas deferens (the duct that carries sperm from the testicle to the ejaculatory duct) and surrounding muscle tissues. Discomfort in this area can sometimes be related to the vas deferens or the surrounding muscles, especially if there has been any recent physical activity that may have strained these structures.

In terms of management, observing the symptoms for a few days is a reasonable approach, especially if the discomfort is mild and not worsening. Applying a warm compress to the area may help alleviate any muscle tension. Over-the-counter pain relief, such as ibuprofen or acetaminophen, can also be beneficial if you experience discomfort.

However, it is crucial to seek medical attention if you notice any of the following:
1. The pain worsens or does not improve after a few days.

2. You develop additional symptoms such as swelling, redness, or warmth in the area.

3. You experience any changes in urination, such as increased frequency, urgency, or pain.

4. You notice any unusual discharge from the penis or any other concerning symptoms.

In summary, while your symptoms may likely be due to a minor strain or soft tissue irritation, it is essential to monitor your condition. If the discomfort persists or worsens, consulting a healthcare professional for a thorough evaluation would be advisable. They can provide a more accurate diagnosis and appropriate treatment options based on a physical examination and your medical history.

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