Pain at the Base of the Penis: Causes and Recovery Tips - Urology

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Pain at the base of the penis?


Yesterday, while masturbating (lying down), I raised my penis to a 90-degree angle with the bed and pressed it towards my body.
At that moment, I felt no discomfort, but afterward, I experienced some pain in the spongy tissue behind the testicles.
However, I couldn't pinpoint the exact area of pain when I pressed on it, and there was no significant change in pain during erections.
Did I injure the penile base or the corpus spongiosum? How should I recover?

Niming, 10~19 year old female. Ask Date: 2022/04/30

Dr. Jian Weihong reply Urology


Hello: If there is persistent pain, swelling, or bruising, you should seek medical attention.
If there is no pain, you can observe the situation first; most likely, it will be painless, without swelling or bruising, and it will not have a significant impact.
Wishing you good health.

Reply Date: 2022/04/30

More Info


Understanding pain at the base of the penis can be concerning, especially after an incident like the one you described. The pain you are experiencing could be attributed to several factors, including trauma to the erectile tissue, strain on the surrounding muscles, or even a minor injury to the ligaments that support the penis.

When you mentioned that you pressed the penis against your body at a 90-degree angle, it is possible that you may have caused some strain or micro-tearing in the tissues at the base of the penis, particularly in the area known as the "crura," which are the erectile tissues that anchor the penis to the pelvic bone. This area is rich in blood vessels and nerves, and any trauma can lead to localized pain or discomfort.

The pain you feel behind the testicles could also be related to the surrounding structures, such as the bulbospongiosus muscle, which plays a role in erectile function and ejaculation. If this muscle is strained, it can lead to discomfort that may not be directly linked to the penis itself but rather to the pelvic floor muscles.

Here are some recovery tips that may help alleviate your discomfort:
1. Rest: Avoid any activities that may exacerbate the pain, including sexual activity or any strenuous physical exertion. Allowing your body time to heal is crucial.

2. Ice Therapy: Applying ice packs to the area can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, be sure to follow the recommended dosage and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

4. Gentle Stretching: Once the acute pain subsides, gentle stretching of the pelvic floor muscles may help restore flexibility and reduce tension. However, avoid any movements that cause pain.

5. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall healing. Foods rich in antioxidants and anti-inflammatory properties may be particularly beneficial.

6. Consult a Healthcare Provider: If the pain persists for more than a few days, worsens, or is accompanied by other symptoms such as swelling, bruising, or changes in urination, it is essential to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies if necessary to rule out any significant injuries.

7. Avoid Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, it’s important to consult a healthcare professional for an accurate diagnosis and tailored treatment plan.

In summary, while the pain you are experiencing may be due to a minor injury, it is essential to monitor your symptoms closely. If you notice any worsening or additional symptoms, do not hesitate to seek medical advice. Recovery may take time, but with proper care and attention, most minor injuries can heal effectively.

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