Is it advisable to undergo surgical treatment for penile fracture?

Question

Hi doctor,

I have an untreated penile fracture. I heard a noise during masturbation, and my penis started to hurt a lot. But I did not have swelling and pain. So I did not consult the doctor. Now, I am getting pain during erection now and then. It has been a year now.

I think that I have a scar that causes pain. Is it hopeless?
Can it be treated?
I consulted a urologist, and he told me to have an operation. What is your opinion? I want to live without pain and lead a normal sexual life again.

Kindly assist.

Answer 1

Hi,

Welcome to icliniq.com.

Based on your symptoms and the history of injury, this seems more consistent with a post-traumatic inflammatory reaction causing ongoing sensitivity and pain in the penile tissues. It is reassuring that you have already consulted a urologist, because the penis contains many delicate nerves and small blood vessels that can remain irritated for some time even after a minor injury.

Sometimes, after trauma, the tissues can develop mild persistent inflammation and nerve hypersensitivity, which may create a cycle where the area becomes more sensitive and painful even without any serious underlying damage. This type of discomfort can take time to settle gradually.

To help reduce the inflammation and pain, you can take a tablet of Naproxen 250 mg three times daily for two weeks. Along with this, Gaviscon liquid can be taken three times daily, keeping at least a one-hour gap from your other medications. After completing Naproxen, tablet Bromelain 500 F.I.P. can be continued three times daily for six weeks, as it may help with residual inflammation and tissue recovery.

During this period, try to avoid repeatedly touching, pressing, or checking the area, as constant irritation can sometimes delay healing. It is also better to avoid activities that worsen the discomfort temporarily.

If the pain continues, becomes more severe, or if you notice swelling, urinary symptoms, discoloration, curvature, or difficulty with erections, do follow up again for reassessment.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have read your query.

You can start taking medications at once. You can start taking Naproxen. But take Gaviscon liquid one hour apart from it. Naproxen can cause some gastrointestinal side effects. Gaviscon is an alginate that protects the mucosa of the stomach. After taking Naproxen for 14 days, you can continue taking Bromelain, and you can stop taking Gaviscon.

I hope it helps.

Please let me know if I can assist you further.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

It is bad to hear that Naproxen has not resolved your pain. It is not a strong pain medication. You do not seem to have PD (Peyronie's disease). You have a post-accident inflammation that causes self-reinforcing pain. You can undergo a surgery called a penectomy. It helps you a lot, and it causes pain. You can take Bromelain and Diclofenac for five days. Continue taking Gaviscon three times a day, one hour apart from other medications. If this treatment fails, then you can have corticosteroid injections.

I hope it helps.

Revert in case of doubt.

Thank you.