Penile Strains: Causes, Pain, and Recovery Tips - Urology

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Hello Doctor: I would like to ask if it is normal to have a cord-like structure on the penis, and if pressing on the penis causes pain, could it be due to excessive masturbation? It feels like the discomfort is coming from the corpora cavernosa.
Will it gradually improve after abstaining? This discomfort has been present for some time! (Thank you for your clarification, I have visited several doctors but have not been able to find the cause.)

An, 10~19 year old female. Ask Date: 2023/09/03

Dr. Du Shixi reply Urology


Hello: If there is no redness or swelling, it should heal well.
Wishing you good health.

Reply Date: 2023/09/03

More Info


When it comes to penile strains and discomfort, it's important to understand the anatomy and potential causes of pain in this sensitive area. The penis is composed of erectile tissue, including the corpora cavernosa and corpus spongiosum, which can be affected by various factors leading to discomfort or pain.


Causes of Penile Pain
1. Overuse or Strain: Engaging in excessive masturbation or sexual activity can lead to strain on the penile tissues. This can result in soreness or discomfort, particularly if the activities are vigorous or prolonged. The pain you are experiencing may be due to micro-tears in the tissue, which can occur with repetitive motion.

2. Injury: Trauma to the penis, whether from vigorous sexual activity, accidents, or other forms of impact, can lead to pain and the formation of lumps or irregularities in the tissue.
3. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, leading to curved, painful erections. If you notice a hard lump or a change in the shape of your penis, this could be a potential cause.

4. Infections or Inflammation: Conditions such as sexually transmitted infections (STIs), balanitis (inflammation of the glans), or other infections can cause pain and discomfort.
5. Psychological Factors: Anxiety and stress related to sexual performance or body image can also manifest as physical discomfort.


Recovery Tips
1. Rest and Avoidance: If you suspect that overuse is the cause of your pain, it is crucial to give your body time to heal. Avoid sexual activity and masturbation for a period to allow any inflammation to subside.

2. Ice Therapy: Applying ice packs wrapped in a cloth to the area can help reduce swelling and numb the pain. Limit ice application to 15-20 minutes at a time to avoid frostbite.

3. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions.

4. Hydration and Nutrition: Maintaining good hydration and a balanced diet can support overall health and recovery. Foods rich in antioxidants and anti-inflammatory properties may help.

5. Consult a Specialist: Since you have already seen a doctor multiple times without a clear diagnosis, consider seeking a urologist's opinion. They can perform a thorough examination, including imaging studies if necessary, to rule out conditions like Peyronie's disease or other structural issues.

6. Gradual Return to Activity: Once the pain subsides, gradually reintroduce sexual activity and masturbation. Pay attention to your body’s signals and avoid pushing through pain.

7. Psychological Support: If anxiety or stress is contributing to your discomfort, consider speaking with a mental health professional. They can provide strategies to manage anxiety related to sexual performance or body image.


Conclusion
In summary, while some discomfort in the penis can be normal, persistent pain warrants further investigation. It is essential to listen to your body and allow time for recovery. If the pain continues or worsens, or if you notice any unusual changes in the structure of your penis, seek medical attention promptly. Your health and comfort are paramount, and addressing these concerns with a qualified healthcare provider will help you find relief and peace of mind.

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