Swelling and Pain on the Left Side of the Penis

Q: Swelling and Pain on the Left Side of the Penis

Tofu： Hello, your issue may be related to an injury to the penile corpus cavernosum. <br>If it's not severe, you can start with local ice therapy for 2-3 days, applying ice for about 10-15 minutes each time, at least three times a day, with intervals of at least one hour between

There is some swelling on the left side of my penis?

Hello Doctor, I have recently noticed some pain in my penis, but I can't see anything unusual.
After fulfilling my physiological needs today (I have been doing this more than twice a day for the past week), I noticed some pain in my penis about an hour later (when my legs are together).
After I took off my pants, I saw that the upper left part of my penis is slightly swollen.
It doesn't hurt when I touch or poke it, but squeezing it does cause some pain.
I don't have any burning or painful sensations when urinating.
I would like to know what symptoms this might indicate.
Should I see a urologist? I understand your answer will likely be to go to the hospital for an examination, but I would like to know what tests would be conducted if I go to the hospital.
Also, during the examination, can I request that the nurse step out? Even though I am a male, I still feel shy (though I know that seeing a doctor is more important).
Could you please respond to me as soon as possible?

Douhua, 20~29 year old female. Ask Date: 2009/03/07

Dr. Xu Weikai reply Urology

Tofu: Hello, your issue may be related to an injury to the penile corpus cavernosum.
If it's not severe, you can start with local ice therapy for 2-3 days, applying ice for about 10-15 minutes each time, at least three times a day, with intervals of at least one hour between applications.
Temperature: It is appropriate to add a few ice cubes to cold water and wrap it with a towel.
Do not use only ice cubes.
After 2-3 days, you may consider switching to heat therapy at a temperature of about 40-45 degrees Celsius for approximately 10-15 minutes.
This approach can help some minor injuries heal gradually without the need for surgical repair.
Additionally, it is advisable to reduce ejaculation and even limit stimulation of erections for 2-3 weeks to prevent further injury.
If you need to seek medical attention (since you mentioned it), go to a larger hospital where a penile ultrasound can be performed to determine the location, size, and extent of any rupture.
If you have any further questions or need more detailed information, feel free to ask for further discussion.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Director Xu Weikai.

Reply Date: 2009/03/07

More Info

It sounds like you are experiencing some concerning symptoms related to swelling and pain on the left side of your penis. While I understand your hesitation and embarrassment about seeking medical attention, it is crucial to address these symptoms properly to rule out any serious conditions.

From your description, the swelling and pain could be attributed to several potential causes. One possibility is a condition known as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, leading to curved, painful erections. Another possibility could be a penile hematoma, which occurs when blood collects outside of blood vessels, often due to trauma or injury, even if you don't recall any specific incident. Infections, such as sexually transmitted infections (STIs) or urinary tract infections (UTIs), could also lead to localized swelling and discomfort, although you mentioned there is no burning sensation during urination.

Given that you have noted pain upon squeezing the swollen area, this could indicate inflammation or irritation in the tissues. It is also worth considering that frequent sexual activity, as you mentioned, could lead to irritation or even microtrauma, especially if there is insufficient lubrication or if there are any underlying conditions affecting the tissues.

Regarding your question about seeing a urologist, it is indeed advisable to consult with one. Urologists specialize in male reproductive health and can provide a thorough evaluation of your symptoms. During your visit, the doctor will likely perform a physical examination and may ask about your sexual history, any recent activities that could have led to trauma, and any other symptoms you may be experiencing.
In terms of diagnostic tests, the urologist may recommend:
1. Ultrasound: This imaging test can help visualize any abnormalities in the blood vessels or tissues of the penis.

2. Blood tests: These can check for signs of infection or other underlying health issues.

3. Urinalysis: A urine sample can help identify any infections or abnormalities in the urinary tract.

As for your concerns about privacy and modesty during the examination, medical professionals are trained to handle such situations with sensitivity and respect. You can request a male nurse or physician if that makes you more comfortable. Additionally, you can express your concerns about privacy to the staff, and they will do their best to accommodate you.

In summary, while it is understandable to feel shy or embarrassed about discussing such personal issues, it is essential to prioritize your health. Seeking medical advice from a urologist will provide you with the necessary guidance and treatment options. Remember, early diagnosis and intervention can prevent potential complications, so don't hesitate to make that appointment.

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