Symptoms of Penile Skin Issues After Injury - Urology

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Foreskin issues


Hello, doctor: Recently, I used a sex toy for masturbation and wore a condom during use.
However, the toy's opening was too small, and in a moment of impatience, I forced it in, which caused the condom to break against my erect penis.
Since then, the blood vessels under the foreskin have appeared red, and I have seen five doctors, but I still experience pain.
The pain also recurs when I soak in hot water or take a hot shower.
What symptoms could this be?

A-Ming, 20~29 year old female. Ask Date: 2016/02/04

Dr. Xu Weikai reply Urology


A-Ming: Hello, it seems you are injured and still in recovery.
I recommend consulting with your physician for more precise information.
I am just a doctor, not a deity, and cannot make guesses.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only serve as a reference; if necessary, you should seek medical care at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/04

More Info


When dealing with penile skin issues following an injury, particularly one caused by the use of a sexual toy, it is essential to understand the potential symptoms and underlying causes. Based on your description, it seems that you experienced a rupture of the condom during use, which may have led to trauma to the penile skin and underlying tissues. The symptoms you are experiencing, such as redness of the blood vessels under the foreskin and persistent pain, can be attributed to several factors.

Firstly, the injury may have caused localized inflammation. When the skin is damaged, the body responds with an inflammatory process, which can lead to redness, swelling, and pain. This is a natural response as the body attempts to heal the affected area. However, if the inflammation persists, it could indicate that the injury has not healed properly or that there is an ongoing irritation.

Secondly, the pain you experience during hot water exposure may suggest that the area is sensitive or that there is still some degree of inflammation. Heat can increase blood flow to the area, which may exacerbate the pain if there is underlying irritation or inflammation. It is also possible that the injury has led to a condition known as post-traumatic sensitivity, where the nerves in the area become overly responsive due to the trauma.

Additionally, there is a possibility of infection, especially if there was any exposure to bacteria during the injury. Signs of infection can include increased redness, swelling, warmth, and possibly discharge. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

Given that you have seen multiple doctors without resolution, it may be beneficial to consider a few additional steps:
1. Follow-Up with a Specialist: If you haven't already, consider consulting a urologist or a dermatologist who specializes in genital skin issues. They may provide a more focused examination and treatment plan.

2. Avoid Irritants: Until the area has fully healed, avoid any activities that may irritate the skin, such as vigorous sexual activity or the use of products that may cause irritation (e.g., scented soaps or lotions).

3. Maintain Hygiene: Keep the area clean and dry. Gentle washing with mild soap and water is advisable, but avoid scrubbing the area, as this can exacerbate irritation.

4. Topical Treatments: Depending on the diagnosis, your doctor may recommend topical treatments such as corticosteroids to reduce inflammation or antibiotics if there is an infection.

5. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice worsening pain, increased redness, or any discharge, seek medical attention immediately.

6. Consider Psychological Factors: Sometimes, psychological factors can contribute to the perception of pain, especially after a traumatic event. If you find that anxiety or stress is affecting your recovery, consider speaking with a mental health professional.

In conclusion, while the symptoms you are experiencing may be related to the initial injury, it is essential to continue seeking medical advice until you find a resolution. Persistent pain and redness should not be ignored, as they can indicate underlying issues that require treatment. Always prioritize your health and well-being, and do not hesitate to seek further medical opinions if necessary.

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