Q. What can the painful inflamed ridges on penis be?

Answered by Dr. Vivekanandan G and medically reviewed by iCliniq medical review team.

 

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Hello doctor,

I got my penis injured while having sex with my girlfriend. Now, I have what seems to be an inflamed rib or ridges on only one side of my penis. It hurts all day while walking or lifting too. I have a hard flaccid penis since this has happened. I have been taking anti-inflammatory drugs and icing it, but cannot get them to go away. Everything aggravates around night-time erections and all erections are painful on that side. I drive all day and just by pressing the brake, it hurts the whole day. I do not have peyronie's or a curved erection. Going to a urologist just blows me off. Has anyone ever heard of this situation? Is there any anti-inflammatory injection or drug that will make me not get erections until it heal? I never had these before the injury. I am attaching the picture. Please help.


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Dr. Vivekanandan G
MCH UROLOGY
Andrology, Urology

Hello,

Welcome to icliniq.com.

I had a look at the photo (attachment removed to protect patient identity).

  • I believe you have got thrombophlebitis of the superficial veins of penis.
  • It is a self-limiting condition and usually resolves in a few weeks. All you need is supportive care with anti-inflammatory and analgesics.

For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

 

Hello doctor,

It is not the vein that I am worried about. These ribs or ridges that are huge and painful on the right side of my shaft are hurting. Please help.

 

Dr. Vivekanandan G
MCH UROLOGY
Andrology, Urology

Hi,

Welcome back to icliniq.com.

  • These ridges could be due to tear in the tunica and subsequent hematoma.
  • However, I would strongly suggest you to get an ultrasound Doppler study of penis to confirm the diagnosis and to plan further course of action.

For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

 

Hi doctor,

Would not a hematoma bruise and change color? Could I have just injured the corpora cavernosa and inflamed the tissue without rupturing the tunica? Is there any anti-inflammatory cream? Or Can I get a shot directly into the inflamed tissue? Is there a pill to stop night-time erections? Please suggest.

 

Dr. Vivekanandan G
MCH UROLOGY
Andrology, Urology

Hi,

Welcome back to icliniq.com.

  • Hematoma could be underneath the tunica, which can mask the discoloration.
  • Topical Diclofenac creams are available. However, it is better to take oral Aceclofenac few doses along with a small dose of steroid like Prednisolone.
  • To prevent erections, you can use tablet Ketoconazole 400 mg thrice as long as required.

For further doubts consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

 
 
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