Painful Vein Sensation During Erection After Circumcision: What to Do?

Pain in the penile arteries during erection?

It has been three weeks since my circumcision, and I feel a painful pulling sensation along what seems like a blood vessel or tendon from the glans to the base of the penis during an erection.
Is this normal? The doctor prescribed anti-inflammatory and pain relief medication during my follow-up visit.
What can I do to recover more quickly?

Niming, 20~29 year old female. Ask Date: 2013/09/05

Dr. Xu Weikai reply Urology

Hello, it's been three weeks, and I'm still recovering.
Generally, after a circumcision, it is advised to avoid sexual activity for two months, as it may lead to wound dehiscence.
At three weeks, the wound is still healing and may be more swollen.
If you have any further questions, feel free to ask, and we can discuss and research together.
Online responses should only be considered as references; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/09/05

More Info

Experiencing pain during an erection after circumcision can be concerning, and it's important to understand the potential causes and appropriate steps to take for recovery. After circumcision, some individuals may notice discomfort or a painful sensation in the area where the surgery was performed, particularly during erections. This can be attributed to several factors, including healing tissue, inflammation, or even the way the skin has adjusted post-surgery.

Firstly, it’s essential to recognize that some discomfort is normal in the weeks following circumcision. The surgical site is healing, and the surrounding tissues may be sensitive. The sensation you describe, which feels like a pulling or painful sensation along what seems to be a vein or cord, could be related to the healing process. As the tissues heal, they may become tight or sensitive, leading to discomfort during erections.

However, if the pain is severe or worsening, it may indicate complications such as infection, excessive scar tissue formation (fibrosis), or even issues related to the blood vessels in the area. The fact that your doctor has prescribed anti-inflammatory and pain relief medication suggests that they are addressing potential inflammation or discomfort. It’s crucial to follow their instructions regarding medication and to keep an eye on any changes in your symptoms.

Here are some steps you can take to promote healing and alleviate discomfort:
1. Rest and Avoid Strain: Give your body time to heal. Avoid activities that may put strain on the surgical area, including vigorous physical activity or sexual intercourse until your doctor advises it is safe to resume.

2. Follow Up with Your Doctor: If the pain persists or worsens, or if you notice any unusual symptoms such as swelling, redness, or discharge, it’s important to return to your healthcare provider for further evaluation. They may want to assess the surgical site to ensure there are no complications.

3. Pain Management: Continue taking any prescribed pain relief medications as directed. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may also help, but consult your doctor before taking any additional medications.

4. Warm Compresses: Applying a warm compress to the area may help soothe discomfort. Ensure that the compress is not too hot and that it does not irritate the surgical site.

5. Gentle Hygiene: Maintain good hygiene in the area to prevent infection. Follow your doctor's instructions on how to clean the area gently without causing irritation.

6. Monitor Symptoms: Keep track of your symptoms, including the intensity of pain and any changes in sensation. This information can be helpful for your healthcare provider during follow-up visits.

7. Patience with Healing: Healing can take time, and everyone’s recovery process is different. Be patient with your body as it heals from the surgery.

In conclusion, while some pain after circumcision can be normal, it’s essential to monitor your symptoms closely and maintain open communication with your healthcare provider. If you have any concerns about the pain or if it significantly impacts your quality of life, do not hesitate to seek further medical advice. Your health and comfort are paramount, and your doctor can provide tailored recommendations based on your specific situation.

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