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Urology (Expert Forum)
Have I Fractured My Penis?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Have I Fractured My Penis?
by tmac09, Jul 27, 2005 12:00AM
A week ago I was having anal sex with a man who was prone on his elbows, and me behind him on my knees. It was very vigorous with quick thrusts, and little lubrication on the condom. While performing, he suddenly shifted his anus upward, pulling my penis to a weird angle. I immediately felt a pain in my penis and pulled out. I didn't climax, and lost my erection. Since then I have had pain on the underside of my penis, near the base, and also near the head. It's also slightly swollen and feels hardened on the underside. The pain becomes more intense when I have an erection. I went online and found information on penile fracture, but am unsure if this is what it is. I don't know if I have a complete tear or just a bruise. I have no trouble urinating, but have not had sex since. I have used an ice pack, and have taken massive doses of Advil, both of which offer temporary relief, but I'm worried I may need surgery to correct this problem. What should I do?
Doctor's Answer
by Kevin Pho, MD, Jul 28, 2005 12:00AM
, Jul 28, 2005 12:00AM
Penile injury can certainly be possible. Typically, this diagnosis can be made clincally where a typical sign would be a "popping" sound followed by sharp pain.
Further imaging studies can be done, such as an ultrasound, MRI or a cavernosogram. If there is suspicion that the urethra is involved, a retrograde urethrogram can be considered.
Treatment would depend on the extent of damage. More mild injuries can be treated conservatively with warm compresses, splinting or anti-inflammatories. Surgery should be considered for more severe injuries.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Further imaging studies can be done, such as an ultrasound, MRI or a cavernosogram. If there is suspicion that the urethra is involved, a retrograde urethrogram can be considered.
Treatment would depend on the extent of damage. More mild injuries can be treated conservatively with warm compresses, splinting or anti-inflammatories. Surgery should be considered for more severe injuries.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Member Comments
by sanjaypdr, Aug 02, 2005 12:00AM
To: Misc.
0
by tmac09, Aug 08, 2005 12:00AM
To: Misc.
0
by eskimoky, May 11, 2008 03:11AM
A related discussion, diminished size due to injury was started.