Penile Trauma: Symptoms and Recovery After Injury - Urology

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The lower body was compressed?


Two days ago, my genital area was compressed during an erection, and after that, it was struck hard.
The next day, I felt soreness and did not experience morning erections.
A day later, the soreness has subsided, but I still have not had morning erections.
Could there be an injury?

nn, 10~19 year old female. Ask Date: 2016/01/04

Dr. Xu Weikai reply Urology


Hello, I am not sure where I am injured.
Generally, penile injuries have very obvious symptoms, such as severe pain, deformity, and bruising.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
Answers found online 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, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2016/01/04

More Info


Penile trauma can occur due to various reasons, including blunt force, compression, or even during sexual activity. The symptoms and recovery process can vary significantly depending on the severity of the injury. In your case, experiencing pain and the absence of morning erections (a common indicator of healthy erectile function) after a traumatic event raises concerns about potential injury to the penile tissue or surrounding structures.


Symptoms of Penile Trauma
1. Pain and Discomfort: Pain is often the first noticeable symptom following trauma. This can range from mild discomfort to severe pain, depending on the extent of the injury.

2. Swelling and Bruising: Trauma may lead to swelling and bruising in the affected area. This is due to the accumulation of blood and fluid as a response to injury.

3. Changes in Erectile Function: The inability to achieve or maintain an erection, as you mentioned with the absence of morning erections, can indicate damage to the erectile tissue or nerves.

4. Deformity: In more severe cases, trauma can cause a curvature or deformity of the penis, which may be a sign of a more serious injury, such as a fracture of the penile shaft.

5. Urinary Issues: Trauma can also affect the urethra, leading to difficulties in urination or blood in the urine.


Recovery Process
The recovery from penile trauma largely depends on the nature and severity of the injury. Here are some general guidelines:
1. Rest and Avoidance of Further Injury: It is crucial to avoid any activities that could exacerbate the injury, including sexual activity, until a full assessment has been made.

2. Medical Evaluation: It is advisable to seek medical attention, especially if symptoms persist or worsen. A healthcare provider may perform a physical examination and possibly imaging studies (like an ultrasound or MRI) to assess any internal damage.

3. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult a healthcare provider before taking any medication.

4. Monitoring Symptoms: Keep track of any changes in symptoms, such as the return of morning erections or the development of new symptoms like increased pain or swelling.

5. Follow-Up Care: Depending on the findings, follow-up care may be necessary. If there is significant injury to the erectile tissue or other structures, surgical intervention may be required.


Conclusion
In your situation, the absence of morning erections and the initial pain suggest that there may be some degree of injury. While minor injuries can heal with conservative management, more severe injuries may require medical intervention. It is essential to consult a healthcare professional who specializes in urology or sexual health to get a proper diagnosis and treatment plan tailored to your specific condition. Early intervention can help prevent complications and promote a better recovery outcome.

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