Penile Issues: Pain and Bumps After Intense Masturbation - Urology

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Penile issues


I have been masturbating frequently, and during one intense session, I felt like I might have strained something.
Recently, while showering, I noticed a hard bump at the very tip of my penis.
When I felt along the bump towards the glans, I discovered a tight band or nerve beneath the foreskin that seems to be connected to the bump.
It feels like something is knotted there.
When I slightly pull on the foreskin while not erect, I experience a tight pain, but there is no pain during erection or masturbation.
I would like to ask the doctor if my previous vigorous masturbation could have injured the superficial dorsal vein of the penis or something similar.

Niming, 20~29 year old female. Ask Date: 2023/02/13

Dr. Du Shixi reply Urology


Hello: Please seek medical attention.
Generally, injuries often result in bruising and swelling.
It is important to have an evaluation.
Wishing you good health.

Reply Date: 2023/02/13

More Info


It sounds like you are experiencing some concerning symptoms following intense masturbation, including pain and the discovery of a hard bump at the base of your penis. Let's break down your situation and address your concerns.

First, it's important to understand that the penis is a sensitive organ with various structures, including blood vessels, nerves, and connective tissues. Intense or aggressive masturbation can sometimes lead to minor injuries or trauma to these structures, which may manifest as pain, swelling, or the formation of lumps. The hard bump you described could be a number of things, including a benign condition like a cyst, a result of trauma, or even a condition known as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis.

The tightness and pain you feel when pulling on the skin of the penis, especially if it is accompanied by a hard bump, could indicate that there is some inflammation or irritation in the area. This could be due to trauma from vigorous activity, which may have caused some swelling or irritation of the surrounding tissues. The fact that you do not experience pain during an erection or masturbation could suggest that the issue is more related to the skin or superficial structures rather than deeper vascular or nerve damage.

Here are some considerations and recommendations:
1. Rest and Avoidance: It may be beneficial to give your body a break from any sexual activity, including masturbation, to allow any potential inflammation or irritation to subside.
2. Warm Compresses: Applying a warm compress to the area may help alleviate discomfort and promote blood flow, which can aid in healing.

3. Over-the-Counter Pain Relief: If you are experiencing pain, consider using over-the-counter pain relief medications such as ibuprofen or acetaminophen, following the recommended dosages.

4. Monitor Symptoms: Keep an eye on the bump and any associated symptoms. If it changes in size, becomes increasingly painful, or if you notice any unusual discharge, it is important to seek medical attention.

5. Consult a Healthcare Provider: Given your symptoms, it would be wise to consult a healthcare provider, preferably a urologist. They can perform a physical examination and may recommend imaging studies if necessary to rule out any serious conditions.
6. Avoid Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, it’s crucial to get a professional opinion. Conditions affecting the penis can vary widely in severity, and a healthcare provider can offer the most accurate diagnosis and treatment options.

In summary, while it is possible that your symptoms are related to the vigorous activity you described, it is essential to approach this situation with caution. Avoiding further irritation, monitoring your symptoms, and seeking professional medical advice will be the best course of action to ensure your health and well-being.

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