Sudden Penile Bleeding: Causes, Concerns, and Recovery Tips

Q: Sudden Penile Bleeding: Causes, Concerns, and Recovery Tips

Hello： 1. Based on the description, it is possible that the injury is due to vigorous sexual activity resulting in penile trauma (penile fracture?). It is recommended to follow up with a urologist. 2. The bruising and hematoma will take time for the body t

Sudden profuse bleeding from the penis?

During intercourse with my husband, he suddenly experienced a significant amount of bleeding from his glans (like a faucet, the blood flowed continuously).
There was no pain, and after visiting a doctor, he was told it was not serious and just needed to take anti-inflammatory medication and apply ointment, and that he would recover in a few days.
However, I am still very worried.
A week has passed, and now he experiences pain whenever he applies slight pressure, along with a large bruise that has not yet faded, but at least it is no longer bleeding.
I would like to ask the doctor: 1.
Initially, there was little pain, but in the last two days, any slight pressure causes pain.
What should we do? 2.
How can the bruise be reduced? 3.
Why did this situation occur suddenly? What is this condition called? 4.
Will there be any long-term effects? 5.
Will this affect erectile function or fertility? 6.
What else should we pay attention to in the future?

xingfu, 30~39 year old female. Ask Date: 2013/09/16

Dr. Lin Wenxu reply Urology

Hello:
1.
Based on the description, it is possible that the injury is due to vigorous sexual activity resulting in penile trauma (penile fracture?).
It is recommended to follow up with a urologist.

2.
The bruising and hematoma will take time for the body to absorb and metabolize, so there is no need for excessive concern.

3.
Fertility should not be adversely affected, but the impact on erectile function will require further monitoring.

4.
It is advisable to temporarily avoid excessive sexual activity until the tissues have adequately healed.

Wishing you good health.

Reply Date: 2013/09/16

More Info

Sudden penile bleeding can be alarming, and it's understandable that you and your husband are concerned. Let's break down the situation and address your questions systematically.

1. Pain After Initial Bleeding: The fact that your husband is experiencing pain upon slight pressure after the initial bleeding has stopped could indicate a few things. It might be due to residual bruising or swelling in the area, which can be quite sensitive. If the pain persists or worsens, it would be wise to consult a urologist for a thorough examination. They may recommend imaging studies to rule out any underlying issues such as a hematoma (a localized collection of blood outside of blood vessels) or other injuries that may not have been apparent initially.

2. Bruising and Recovery: Bruising occurs when small blood vessels break and leak blood into the surrounding tissue. To help the bruise heal, applying ice packs intermittently during the first 48 hours can reduce swelling. After that, warm compresses can promote blood flow to the area, aiding in healing. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can also help manage discomfort. If the bruise does not start to fade after a week or shows signs of worsening, further medical evaluation is necessary.

3. Causes of Sudden Bleeding: The sudden bleeding from the glans (tip of the penis) could be attributed to several factors, including trauma (even minor), infections, or conditions like penile thrombosis or other vascular issues. The term for this type of bleeding can vary, but it may be referred to as "penile hemorrhage." It's essential to consider any recent activities that might have contributed to this, such as vigorous sexual activity or any underlying medical conditions.

4. Potential Long-term Effects: While many cases of penile bleeding resolve without complications, there is a possibility of long-term effects depending on the underlying cause. If there was significant trauma or if a hematoma formed, there could be a risk of scarring or changes in sensation. However, most individuals recover fully without lasting issues. Regular follow-ups with a healthcare provider can help monitor recovery and address any concerns.

5. Impact on Sexual Function and Fertility: In most cases, if the bleeding is due to a minor injury and there are no significant complications, sexual function and fertility should not be affected. However, if there is ongoing pain or structural damage, it could potentially impact sexual performance. If there are concerns about fertility, a urologist can provide specific tests to evaluate sperm health and other factors.

6. Future Precautions: Moving forward, it's essential to practice safe sexual activities. This includes ensuring that both partners are comfortable and aware of each other's limits. If your husband has a history of bleeding or bruising easily, it may be worth discussing this with a healthcare provider to rule out any underlying clotting disorders. Additionally, maintaining good hygiene and seeking prompt medical attention for any unusual symptoms can help prevent complications.

In summary, while the initial bleeding may have resolved, ongoing pain and bruising warrant further evaluation. Regular follow-ups with a healthcare provider are crucial to ensure proper healing and to address any potential complications. If you have any further concerns, do not hesitate to seek medical advice.

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