HomeAnswersInternal Medicinesexual healthWhat should I do to help my painful erection?

I have sharp burning pain on my penis during an erection. Please help.

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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

Dr. Vinodhini J.

Published At January 24, 2021
Reviewed AtJanuary 8, 2024

Patient's Query

Hello doctor,

For a few days, I had a painful erection on the right side only. Pain seems to get worse if the penis is pushed in towards the pelvis. No trauma or bend nor has the penis ever had a bend, no bruising noticeable, and no kegel pain. A urinalysis came back clean at GP. When flaccid, it can manipulate any movement with minimal or no pain. When it is erect, a sharp burn type pain upright shaft coming from the pelvis. I have no issues in achieving orgasm or maintaining an erection.

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from a painful erection on the right only for the last few days. Pain is aggravated while the penis is pushing towards the pelvis.

Such a painful erection may result from blood flow problems to the penis, priapism that causes painful and prolonged erection, medications, urethritis or inflammation of the urethra, prostatitis phimosis, urinary tract infections, sexually transmitted diseases, trauma to the penis, etc.

Treatment depends on causes. Some investigations like urethral or prostatic swab for C/S, ultrasound, etc., to find out the exact underlying reasons for your present sufferings and then treat them accordingly.

In the meantime, you can do sex with condoms. Avoid any vigorous sex that may cause injury to the penis. Apply cold compresses.

I hope this helps.

Patient's Query

Thank you doctor,

Is there a muscle or ligament that could be injured? Vascular blood flow is not an issue. I just had pain.

Hello,

Welcome back to icliniq.com.

Yes, it is possible. Rupture or injury of muscle, ligaments, tissues like corpus cavernosa or spinal cord may cause such a painful erection.

In case of penile fracture, corpus cavernosa become damaged or injured. During an erection, one or both sides of corpus cavernosa can snap, resulting in a penile fracture.

Without any investigations, it is difficult to predict the causes of your present sufferings. Some investigations like pelvic ultrasound, MRI of the affected area, may help to reduce the painful erection.

I hope this helps.

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

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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