Penile Injury: Symptoms, Causes, and When to Seek Help - Urology

More Info

---

Penile injuries can be concerning and may arise from various causes, including trauma during sexual activity. Based on your description, it seems that you experienced a significant impact to the penis while engaging in sexual intercourse, which resulted in immediate pain and subsequent bleeding during ejaculation. Here’s a breakdown of the symptoms, potential causes, and recommendations for when to seek medical help.


Symptoms of Penile Injury
1. Pain: You mentioned experiencing severe pain at the moment of impact, which subsided after a few minutes. This is common in penile injuries, especially if there is no fracture or severe damage.

2. Bleeding: The presence of blood in your ejaculate (hematospermia) and urine is a significant symptom. This can indicate injury to the urethra, blood vessels, or other internal structures.

3. Swelling and Bruising: While you noted no swelling or bruising at this time, these symptoms can develop later, depending on the extent of the injury.

4. Difficulty Urinating: If you are experiencing blood before urination, it may suggest that the urethra has been affected.


Possible Causes of Injury
- Trauma to the Urethra: The impact may have caused trauma to the urethra, leading to bleeding. This is particularly concerning if you notice blood in your urine.

- Corporal Injury: The cavernous bodies (corpora cavernosa) of the penis can be injured, although this typically presents with more severe symptoms, including swelling and deformity.

- Vascular Injury: Damage to blood vessels can lead to hematoma formation, which may not be immediately visible.


When to Seek Medical Help
Given your symptoms, it is crucial to seek medical attention. Here are specific reasons to go to the emergency room or consult a urologist:
1. Persistent Bleeding: If the bleeding continues or worsens, it is essential to get evaluated.

2. Blood in Urine: The presence of blood in your urine can indicate a more serious injury to the urinary tract or kidneys.

3. Severe Pain: If you experience increasing pain or discomfort, it may signal complications.

4. Difficulty Urinating: If you have trouble urinating or experience significant changes in urination patterns, this warrants immediate medical evaluation.

5. Signs of Infection: If you develop fever, chills, or worsening pain, these could be signs of infection.


Recommended Actions
- Avoid Sexual Activity: Until you have been evaluated by a healthcare professional, it is advisable to refrain from any sexual activity to prevent further injury.

- Monitor Symptoms: Keep track of any changes in your symptoms, including the amount of bleeding, pain levels, and any new symptoms that may arise.

- Seek Medical Evaluation: A urologist can perform a physical examination and may recommend imaging studies (like an ultrasound) to assess for internal injuries. They may also conduct tests to evaluate the integrity of the urethra and surrounding structures.


Conclusion
Injuries to the penis can range from minor to severe, and while some may resolve on their own, the presence of blood in ejaculation and urine is a concerning sign that should not be ignored. It is essential to seek medical attention promptly to ensure proper diagnosis and treatment. Early intervention can prevent complications and promote better healing outcomes. Please take care of your health and do not hesitate to reach out to a healthcare professional.