Penile White Membrane Bruising and Its Long-Term Effects

Penile white membrane contusion

Hello, doctor.
I have been puzzled about something recently.
It has been about 9 years since I was intimate with my ex-girlfriend, and we were in a missionary position.
She was facing away from me, and her body leaned forward, which caused my penis to be pressed down.
I felt like it was at its limit, and there was a slight pop, but no sound.
My erection did not subside afterward, and it remained normal.
There has been no pain, and even now, the size of my penis during an erection has not changed.
However, in recent years, I have noticed that the hardness of my erections is not as good as before.
I can still achieve maximum hardness, but it takes longer than when I was younger.

I would like to ask the doctor if this situation could be due to a penile injury from that encounter, potentially leading to fibrosis.
If fibrosis has occurred, would it be detectable? At that time, I did not understand these matters and did not pay much attention.
Years later, after watching videos about penile fractures, I became concerned.
If there was an injury that led to tunica albuginea fibrosis, would it be possible to detect it? I do not feel any lumps or discomfort when I examine myself; I just feel that the speed at which I achieve maximum hardness is not as quick as it used to be.
Thank you for your response, doctor.

Yu, 20~29 year old female. Ask Date: 2022/05/19

Dr. Fu Shizhang reply Urology

Nine years ago, if there was a contusion, there should have been symptoms at that time, potentially even leading to erectile dysfunction.
Based on the description, it can be inferred that online consultations cannot replace an in-person examination and physical assessment by a physician.
It is still recommended to seek medical attention at a healthcare facility when there are health concerns.

Reply Date: 2022/05/19

More Info

Understanding penile white membrane bruising and its long-term effects is an important topic, especially for individuals who have experienced trauma or injury to the genital area. Based on your description, it seems you are concerned about a potential injury that may have occurred during a sexual encounter nine years ago, specifically regarding the white membrane (tunica albuginea) of the penis.

Firstly, the tunica albuginea is a fibrous sheath that surrounds the corpora cavernosa, the erectile tissues of the penis. It plays a crucial role in maintaining penile rigidity during an erection. Trauma to this area can lead to bruising or even more severe injuries, such as penile fractures, although the latter is less common and typically associated with significant trauma.

From your account, it appears that you experienced a moment of intense pressure during intercourse, which could have caused some degree of bruising or trauma to the tunica albuginea. However, the absence of immediate pain, swelling, or changes in the size of your penis following the incident suggests that a severe injury may not have occurred. The fact that you have been able to achieve erections and maintain normal sexual function over the years is a positive sign.

Regarding your concerns about erectile hardness and the speed of achieving an erection, it is essential to recognize that various factors can influence erectile function over time. These include age, hormonal changes, psychological factors, and overall health. It is not uncommon for men to notice changes in erectile function as they age, and this does not necessarily indicate a significant underlying injury.

If there was indeed a minor injury to the tunica albuginea, it is possible that some degree of fibrosis could have developed over time. Fibrosis refers to the thickening and scarring of connective tissue, which can occur as part of the healing process following an injury. However, this is typically not palpable unless there is a significant amount of scar tissue formation.

To address your specific questions:
1. Can you determine if there is fibrosis? A physical examination by a healthcare professional can help assess the condition of the penis. They may look for any irregularities, lumps, or areas of tenderness. Imaging studies, such as an ultrasound, can also be utilized to evaluate the integrity of the tunica albuginea and check for any signs of fibrosis or other abnormalities.

2. Is there a way to treat or manage any potential issues? If you are experiencing changes in erectile function that concern you, it is advisable to consult a urologist or a healthcare provider specializing in sexual health. They can perform a thorough evaluation and discuss potential treatment options, which may include lifestyle modifications, counseling, or medications if necessary.

3. Long-term effects: If there was a minor injury that healed without complications, it is unlikely to have significant long-term effects on your sexual health. However, if you notice persistent issues with erectile function or other symptoms, it is essential to seek medical advice to rule out any underlying conditions.

In conclusion, while it is understandable to be concerned about past injuries, the body has a remarkable ability to heal. If you are not experiencing any pain, discomfort, or significant changes in function, it is likely that you are managing well. However, if you have ongoing concerns, do not hesitate to seek professional medical advice for peace of mind and appropriate care.

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