Pain and Discoloration at the Base of the Penis After Trauma - Urology

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The base of the penis is found to be deviated to the right?


Hello Doctor, I would like to ask a question.
A week ago, I was involved in a car accident and sustained minor injuries.
At the time of the accident, I felt a impact to my lower abdomen, but since I didn't feel anything afterward, I didn't pay much attention to it.
A few days after the accident, I masturbated and felt fine.
However, today while masturbating, I noticed some pain and found a small area of deep red on the right side of the base of my penis, which I suspect is internal bleeding.
Should I observe this for a few days or seek medical attention? Additionally, why did I not experience any issues immediately after the accident or a few days later, but now, a week later, I am feeling pain?

joen, 20~29 year old female. Ask Date: 2024/01/02

Dr. Du Shixi reply Urology


Hello: If there is pain, you should seek medical attention.
Generally, bruising appears later, but pain should occur at the time of injury and gradually improve.
Wishing you good health.

Reply Date: 2024/01/02

More Info


After experiencing trauma, such as a car accident, it is not uncommon for individuals to develop pain and discoloration in various parts of the body, including sensitive areas like the base of the penis. In your case, the deep red discoloration and pain you are experiencing could be indicative of a few potential issues, including bruising or internal bleeding resulting from the impact during the accident.

When you sustained the injury, it is possible that the initial trauma did not cause immediate symptoms. This phenomenon can occur due to several reasons. First, the body often goes into shock after an injury, which can temporarily mask pain. Additionally, the adrenaline released during a traumatic event can dull pain sensations. It is also possible that the injury was minor at first but worsened over time due to movement or strain, particularly during activities like masturbation.

The deep red discoloration you observed is likely a bruise, which occurs when small blood vessels break and leak blood into the surrounding tissue. This can happen even if the skin appears intact. Bruises can take time to develop and may not be immediately visible after the trauma. The pain you are experiencing during masturbation could be due to the strain on the affected area, which may have aggravated the injury.

In terms of management, it is advisable to monitor the symptoms closely. If the pain persists, worsens, or if you notice any additional symptoms such as swelling, increased discoloration, or difficulty urinating, it would be prudent to seek medical attention. A healthcare professional can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess for any underlying injuries that may not be immediately apparent.

Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, it is essential to follow the recommended dosages and consider any personal health conditions or allergies before taking medication.

In summary, while it is possible that the pain and discoloration you are experiencing are due to a bruise or minor internal bleeding from the trauma, it is crucial to remain vigilant. If symptoms do not improve or if you have any concerns about your health, do not hesitate to consult a healthcare provider for a thorough evaluation. Early intervention can help prevent complications and ensure proper healing.

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