Q. What can be done for engorged vein in the penis?

Answered by
Dr. Saurabh S Pandya
and medically reviewed by Dr. Divya Banu M

Hello doctor,

I am a 31-year-old physically active male and I have been worried about the size of my superficial dorsal vein of the penis. It has slowly increased in thickness over the past few years. It looks extremely engorged in both erect and flaccid state. I am not experiencing any pain or erection problems so far. I had one varicocele surgery on the left side and two inguinal hernias repair seven years ago. I am not sure if there is any correlation. Is this a cause for concern? Should I consider any treatment?

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Dr. Saurabh S Pandya

M.B.B.S.., M.S. (SURGERY)., M.CH. (UROLOGY
Urology

Hi,

Welcome to icliniq.com.

The dorsal veins of the penis (superficial and deep) drain most of the penile blood back towards the heart. They have to be tortuous so that when the penis becomes erect, they do not stretch too much. The superficial vein is prominent because it is just below the skin. I would not worry about it. This is normal. Any lumpiness or ballooning or skin changes are abnormal and will require medical attention. Take care.

Hi Dr. Saurabh,

Thank you for your answer.
However I don't think this level of tortuosity is normal. It didn't use to be that thick a few years back. In four years the vein almost doubled its thickness (about 8mm diameter). I often experience a slight heaviness during hot days in the summer.
Is there anything I can do to reverse it?

Dr. Saurabh S Pandya

M.B.B.S.., M.S. (SURGERY)., M.CH. (UROLOGY
Urology
Hi,
veins, including penile veins may change in size and shape over time. size can vary upto 15 mm as well.
if you feel something is not OK, you can consult your doctor for this. it may require an examination or Doppler test to check if there is any clot or abnormal valves causing this.
otherwise there is not much to worry.
take care.
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