New Veins on Penis

Recently, after a night of having a bit too much to drink, I had difficulty achieving an erection. My partner tried to stimulate me by hand, and she was rather rough about it - pulling on my penis quite vigorously. This happened a few times, since when I would become somewhat erect, it wouldn't last. A condom was also put on when I wasn't fully erect, putting downward, twisting pressure on my penis. The next day I was startled to see the appearance of new veins on the top of the shaft of my penis, the largest one originating to the right of center at the base and extending to where my circumcised skin begins, with a branch beginning about a third of the way from the base and extending diagonally upward to the same area on the left side of my penis. There are also a few smaller new veins running from the bottom upward on the left side connecting to this diagonal branch. I've also noticed a few varicose-type veins I've never seen before.  Before this incident, veins were not prominent on my penis, whether flaccid or erect. Now, not only are veins that were hardly noticeable before evident, but veins that simply weren’t there at all are quite clearly visible. I don’t really have any pain in my penis, other than a feeling of tiredness and a mild, dull ache, most noticeably in the head.  

What’s going on, doctor? I don’t appear to have any cord-like lesions that would be indicative of Mondor’s disease. Can one incident of rather rough manipulation really cause such dramatic changes in penile venous anatomy? Are these changes permanent or will my penis return to its former condition after it recovers? What treatment, if any, should I seek or self-administer? Should I abstain from masturbation and intercourse? If you recommend a regimen of nsaids, which one(s), in what dosage and for how long?  Since I am currently in a foreign country and it is difficult for me to see a doctor, I would appreciate it very much if you could be as specific as possible. Thank you.  

[Kevin Pho, MD]

Penile vein thrombosis may be one cause of the symptoms.  

Typically, they should resolve with conservative treatment.  If they worsen or continue, a surgical procedure can be considered.

Imaging the penis to confirm the diagnosis should be considered.

I would have it looked at by a urologist.  I cannot recommend specific treatment regimens without examination.

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.
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