What causes the flattening of corpora spongiosum?

Question

Hello doctor,

I have injured my penis at the top or base region. I was doing a technique called the Angion Method, where blood is pushed through the dorsal vein to create blood flow and increase arterial sufficiency. Anyway, I went too hard and experienced burning. I developed a lump, and it was painful and radiated and had throbbing pain for hours as I irritated it. During this time, I was using a penis pump.

Alongside the lump, I also experienced a flattening of the corpora spongiosum, where before it was filled with blood, but now it fell flat, although the head of the penis is still inflated. This was over a year ago. Now my penis functions well enough, but the corpora spongiosum is still not as inflated as before and seems to be slightly 'tight' when in the flaccid state sometimes. I am not sure if this is due to a pelvic floor injury from the pump. So this is a complicated issue, but I have two things to resolve.

The lump in my penis has not gone away, although it has faded from a year ago. If I rub it hard, then hours later, it will throb with slight pain intermittently, and the pain radiates out, and it feels like I can sense it in my left foot.

1. Do you know what this lump might be? I think it might have been Penile Mondor disease and is a blood clot in the dorsal vein. Or it could be lymph vessels?

2. Is the corpora spongiosum flattening an issue related to the lump, and if so, how does this function, how does the lump cause the corpora spongiosum to go flat? Or is it more likely pelvic floor or something else?

3. How could I get rid of the lump somehow?

If I pump or do the Angion Method, the lump becomes irritated and slightly inflamed along with a vessel or vein inside, and the corpora spongiosum goes tight again.

If you could advise me at all, it would be greatly appreciated. I want to get rid of the lump, fix my corpora spongiosum, and return to pumping for penile health.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I believe this lump that you feel may be a plaque (similar to Peyroni’s) caused by the injury. Any injury site tends to heal with fibrosis, which is why it may be firm to hard on touch. With regards to the corpora feeling flat, I cannot attribute it to anything else, but the injury - the CS (corpora spongiosum) does not just go flat on its own for no reason.

I am happy to hear that your erections are relatively well-preserved and hopefully good enough for intercourse. I would recommend you against using the pump or the method you are trying for fear of worsening the injury even more. All this being said, you need to get a penile Doppler scan done to get an accurate diagnosis - without which all we can do is speculate. Your local urologist would be able to refer you to the hospital for a scan, and I highly recommend you get it done.

If it does turn out to be a plaque, treatment generally involves surgical removal. But again, we can discuss this once we have an actual diagnosis. For now, I would recommend you not be aggressive with your pumps.

I suggest these medications for the time being:

Tablet Vitamin E 400 mg, one per day for three months
Tablet Trypsin and Chymotrypsin three times a day for one month.

I hope I have sufficiently answered your questions. Please let me know if there is anything else that I can help you with.

Take care.

Answer 2

Hello again,

Welcome back to icliniq.com.

Sorry for the delay in reverting back, I was on a family holiday for the last 4 days. It maybe mondor’s but mondors disease feels more like a hard cord rather than a lump. My money would be on a plaque. Regardless, it needs a penile Doppler ultrasound to come to an accurate diagnosis.

The medications I have advised may help, but this is just speculation and hoping for the best. As far as heparin is concerned I would wait until you have had the scan.

Thank you.