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What can be done for engorged vein in the penis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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?

Answered by Dr. Saurabh S Pandya

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

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.

Patient's Query

Hi doctor, 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?

Answered by Dr. Saurabh S Pandya

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

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 fine, 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.

Medically reviewed by Dr. Divya Banu M
Published At May 29, 2019
Reviewed At April 17, 2025

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Saurabh S. Pandya is a highly skilled Surgical Urologist with extensive years of clinical experience. He specializes in the surgical and medical management of urinary tract and male reproductive system disorders. His expertise includes kidney stones, prostate conditions, urological cancers, and minimally invasive procedures. Fluent in English, Gujarati, and Hindi, Dr. Pandya is committed to delivering compassionate, patient-centered care while ensuring the best possible clinical outcomes.

This doctor is not available for online consultations on the platform anymore.

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