HomeAnswersUrologypenile injuryDoes a penile injury require emergency medical care?

Does my penile injury with a blood-filled bump require medical care?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 1, 2021
Reviewed AtAugust 9, 2023

Patient's Query

Hello doctor,

I sustained a penile injury last night during sexual activity. I noticed blood filled bump the previous night, and it has ruptured and became flat now. I do not have any pain. I guess it to be a ruptured vein. Kindly help me to know if it requires medical care.

Thanks.

Hi,

Welcome to icliniq.com.

Thanks for consulting us.

Classical penile fracture is when you hear a pop sound, and you immediately lose erection. It will be painful and require emergency surgery to repair the corpora. But the picture you sent has no penile deformity or swelling (attachments removed to protect the patient’s identity). This is a superficial burst of the penile vein. I hope you can get an erection soon with a complete recovery. There is no need for surgery or medications. You will have color changes and complete healing in seven days.

Kind regards.

Patient's Query

Hello doctor,

Thanks for the reply.

Does it look like a rupture of the superficial dorsal vein? Will the vein heal itself without causing erectile dysfunction, or is there any chance of erectile complications?

Kindly give your opinion.

Hi,

Welcome back to icliniq.com

Yes, it could be the superficial dorsal vein. There are many veins on the penis, so sacrificing one vein should not be an issue. The vein, once injured, will get thrombosis and usually will be blocked, but blood will drain to other tributaries, and the erection will happen soon after healing. So do not worry about that. Since no surgical or medical intervention is needed, you need not visit an emergency room.

Kind regards.

Patient's Query

Hello doctor,

Thanks for the reply.

Does a permanent lump develop where the vein is ruptured? If yes, is there anything else like massage, compression, wrap, Ibuprofen, Acetaminophen, Aspirin, heat, or cold packs that I can do to help it heal better and avoid a permanent bump? I used a syringe to poke a small hole in the middle, and some blood came out. I used a new needle and carefully disinfected the area. Is this a good idea?

Kindly help.

Hi,

Welcome back to icliniq.com.

Once the vein gets thrombosed and blocked, it will not recanalize again. And thrombus usually gets organized inside the vein leading to a non-functioning vein that feels like a soft cord. You need not worry about it. There is no need to poke the bruised area as the blood inside will be absorbed with time, leading to complete resolution of the blood clot. In the long term, you can observe your erection. If you find any deviation of the penis after healing, it might be due to the fibrosis of the tunica albuginea layer. It is called Peyronie's disease. For now, I suggest you avoid intentional erection for a week to help in the healing process. And also, avoid intercourse for six weeks. No need for massage as it will worsen the condition. Ice packs at this time are not required. No need for medications also.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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