Penile Sensation Loss and Swelling Issues - Urology

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Excessive swelling of the glans penis, unable to achieve erection?


Hello Doctor: During a DIY session, my glans became very swollen, and while I was trying to maintain it, I suddenly felt a sensation of it loosening.
Now, the glans does not swell up anymore, and I have less sensitivity.
The glans has become less elastic, and during an erection, it still appears wrinkled.
I would like to ask, is a normal erection characterized by the penis becoming longer and the glans swelling? When exerting, does it become even longer and larger, and does it move? My current issue is that I have less sensitivity, and during an erection, the penis does not lengthen, and the glans does not swell.
It also does not move during exertion.
Doctor, what could be the problem?

Yuan, 20~29 year old female. Ask Date: 2015/02/26

Dr. Li Xinyi reply Urology


It sounds like your overall health has been relatively weak lately.
There shouldn't be any issues with your genital area.
If there are any problems, please consult a urologist.

Reply Date: 2015/02/26

More Info


Understanding penile sensation loss and swelling issues can be complex and may involve various physiological and psychological factors. Based on your description, it seems that you are experiencing changes in penile sensation, swelling, and erectile function following an incident during a DIY activity. Let's break down the potential causes and considerations regarding your symptoms.


Possible Causes of Your Symptoms
1. Physical Trauma: The incident you described may have caused some form of trauma to the penile tissue. This could lead to swelling, changes in sensation, or even minor injuries that might not be immediately apparent. Trauma can affect blood flow and nerve function, which are crucial for achieving and maintaining an erection.

2. Nerve Damage: If there was significant pressure or trauma during the incident, it could potentially lead to nerve damage. The penis is rich in nerve endings, and any disruption can lead to altered sensations, including reduced pleasure during erections.

3. Vascular Issues: The ability to achieve an erection is heavily reliant on proper blood flow. If there is any vascular damage or if the blood vessels are not functioning optimally, this could result in difficulties with achieving a full erection or maintaining it.

4. Psychological Factors: Stress, anxiety, or psychological trauma from the incident can also play a significant role in sexual function. If you are feeling anxious or worried about your performance or sensations, this can lead to a cycle of erectile dysfunction.

5. Hormonal Changes: Although less likely in this acute scenario, hormonal imbalances can also affect erectile function and sensation. It may be worth considering if there are any other underlying health issues.


Recommendations for Addressing Your Concerns
1. Consult a Urologist: It is essential to seek medical advice from a urologist who specializes in male sexual health. They can perform a thorough examination, including physical assessments and possibly imaging studies, to determine if there is any underlying injury or condition that needs to be addressed.

2. Avoid Further Trauma: Until you have been evaluated by a healthcare professional, it is advisable to avoid any activities that could further strain or injure the area. This includes avoiding vigorous sexual activity or any DIY tasks that could lead to similar incidents.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including any improvement or worsening of sensation, swelling, or erectile function. This information will be valuable for your healthcare provider.

4. Psychological Support: If you find that anxiety or stress is affecting your sexual health, consider speaking with a mental health professional. They can help you work through any psychological barriers that may be contributing to your symptoms.

5. Lifestyle Adjustments: Maintaining a healthy lifestyle can support overall sexual health. This includes regular exercise, a balanced diet, and avoiding smoking or excessive alcohol consumption.


Conclusion
In summary, the symptoms you are experiencing could stem from a variety of causes, including physical trauma, nerve damage, vascular issues, or psychological factors. It is crucial to consult with a healthcare professional to receive a proper diagnosis and treatment plan. Early intervention can often lead to better outcomes, so do not hesitate to seek help. Remember, sexual health is an important aspect of overall well-being, and addressing these issues can lead to improved quality of life.

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