Penis Veins and constant pain

[adam-medhelp]

My Urologist don’t have answers, I hope you have.
After an excessive masturbation where my Penis was erected to more than 2 hours I started feeling pain in my penis, around five (5) long veins appeared in my Penis, all of these veins swell but the one in the bottom of my penis swell more and cause me a lot of pain, these veins were not visible before, not a single vein was visible in my penis before, the skin of my penis was very clear, in addition to these veins I see some tiny vein (spider veins), these tiny veins are only visible when my penis is erected, friction from clothing or skin cause me great discomfort, I went to three Urologists, all of them told me its normal to have veins in the Penis and they did not see any thing not normal and they wonder why I have pain, they asked me to abstain from sex or masturbation and this will resolve in a month or two, it has been around ten (10) weeks now without any sexual activity or masturbation, only very minor improvement, I took aspirin for 5 weeks and Ibuprofen for 5 weeks without any improvement, I did a Penile sonogram, the results were normal, no thrombosed veins or clots were found and the blood flow is normal, I did another sonogram to check the prostate and the surroundings and the results were normal.
My erection is normal but with un bearable pain, when I get an erection during sleep I walk up from pain.
I hope that you have an idea about the problem and the treatment.
If the problem is complicated, what is the best place to go for treatment, I will go any were to get treatment because I can’t live all my life like this.

Thank you so much for you time and help.

[Kevin Pho, MD]

Unfortunately, I may not be able to come up with anything new.  The things that come to mind include Mondor's disease (i.e. thrombosed penile veins), but you had already a comprehensive evaluation - including several penile ultrasound which did not show any thrombosed veins.  

You may want to consider any internal abnormalities - such as a urethral stricture or urethral polyp.  This can be evaluated for via a cystoscopy.  Another consideration would be possible surgical procedures to remove the enlarged veins.  This can be discussed with your urologist.  

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.

Thanks,
Kevin, M.D.

[adam-medhelp]

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