Potential Penis Injuries: When to Seek Medical Advice - Urology

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Suspected penile injury?


Hello Doctor: A few days ago, during sexual intercourse with my girlfriend, my penis slipped out and bumped into something, causing a slight pain that lasted for about two days.
However, urination and ejaculation have been normal, and I'm unsure if this is just psychological.
Could you please advise if there is any injury? Will it heal naturally in a few days, or should I get it checked? Also, is the angle of penile erection important, or is it normal as long as I can engage in regular sexual activity? Thank you.

Da Tou, 20~29 year old female. Ask Date: 2014/02/25

Dr. Xu Weikai reply Urology


Hello, you may have sustained an injury.
If there are no issues with erections, it should heal on its own.
The angle of penile erection is generally not important as long as sexual intercourse is possible.
However, some individuals are very concerned about this aspect, believing that an unfavorable angle affects male dignity.
If you have any further questions or need clarification, feel free to ask, and we can discuss and research it together.
Responses from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/02/25

More Info


When it comes to potential injuries to the penis, especially following an incident during sexual activity, it’s important to be vigilant about any symptoms that may indicate a more serious issue. Based on your description, you experienced a minor collision of the penis during intercourse, which resulted in mild pain lasting for about two days. You also mentioned that urination and ejaculation have been normal, which is a positive sign. However, there are several factors to consider when determining whether to seek medical advice.


Signs of Injury
1. Pain: Mild pain that subsides over a couple of days is generally not a cause for concern. However, if the pain worsens or persists beyond a few days, it may indicate a more serious injury, such as a fracture of the penis (which is rare but can occur) or damage to the surrounding tissues.

2. Swelling or Bruising: If you notice any swelling, bruising, or discoloration of the penis, this could suggest trauma that may require medical evaluation.
3. Difficulty with Urination or Ejaculation: Since you mentioned that both functions are normal, this is reassuring. However, if you experience any pain during urination, blood in the urine, or difficulty achieving an erection, you should seek medical attention.

4. Changes in Erection Angle: You asked about the importance of the angle of erection. While a slight change in the angle of erection can occur due to minor trauma, significant changes, especially if accompanied by pain or discomfort, should be evaluated by a healthcare professional.


When to Seek Medical Advice
- Persistent Pain: If the pain does not resolve or worsens after a few days, it is advisable to consult a doctor.

- Visible Signs of Injury: Any visible swelling, bruising, or deformity should prompt a visit to a healthcare provider.

- Urinary Issues: If you experience pain during urination, blood in the urine, or any other urinary symptoms, seek medical attention immediately.

- Erection Problems: If you notice any significant changes in your ability to achieve or maintain an erection, or if you experience pain during erections, it’s important to get evaluated.


Psychological Factors
It’s also worth noting that psychological factors can play a role in your perception of pain and injury. Anxiety about potential injuries can sometimes amplify the sensation of pain. If you find that your concerns are affecting your sexual health or relationships, consider discussing these feelings with a healthcare professional.


Conclusion
In summary, while your symptoms may not indicate a serious injury, it’s essential to monitor your condition closely. If any concerning symptoms develop or if the pain persists, do not hesitate to seek medical advice. It’s always better to err on the side of caution when it comes to potential injuries in sensitive areas. Regular check-ups and open communication with your healthcare provider can help ensure your sexual health remains a priority.

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