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Urology  (Expert Forum)
 | 
Possible damage to a vein down from head of penis
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.

Possible damage to a vein down from head of penis

by Deanrd, Sep 28, 2003 12:00AM
Tags: head, penis
Hello
Three weeks back I stumbled on a penis enlargement program via exercises. I was searching for general tips (supplements, ect.) to help me with sex drive though I am not impotent. I was not in the market for a larger penis at the time, but thought that the program would help me in various ways. It claimed to. I have been doing these stretching and girth building exercises for a couple of weeks. Obviously I did them too hard. A week ago I noticed a hard painful vein-like ring just below the head of my penis. The ring goes all around my penis. I am not sure that it is a vein, it's below the surface so it's not blue. But it seems to be a vein. It's filled to the max, and is tight as can be for the last week with no change. It burns like fire most of the time. I read a little on varicose veins and how that "valves" in the vein can misfunction. Obviously I need to seek medical help and am going to. But not all doctors or even specialist can diagnose one properly. Do you have any idea what I could have damaged. How can a vein hold blood like that........if that is what is wrong? What else can be going wrong to cause this kind of thing? Can I expect it to subsid on it's own in time. Am I facing surgery! I am a little concerned to say the least. I realize that you can't physically examine me so you are limited, but I have described quite accurately what I face. I have left off the exercises.
ean.

by Kevin Pho, MD, Sep 29, 2003 12:00AM
You may be describing superficial thrombophlebitis of the penis (an uncommon disease known as Mondor's disease). This is an inflammatory reaction to a clot within the vein. This subsequently causes blockages and dilation of the vein. It is typically painless, but can be painful. In studies, patients were noted to have thrombophlebitis after a prolonged sexual act with or without intercourse. It was described as cord-like thickening of the superficial penile veins.

Diagnosis is via ultrasound which shows blockage of the vessels. Treatment is with anti-inflammatories (i.e. aspirin or ibuprofen) and most resolve within 4-6 weeks. If it persists, then surgery may be necessary. A referral to a urologist would be reasonable to take a look at it.

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.
Member Comments (1)

by Mary McWherter, Jul 27, 2007 01:16AM
To: Kevin, MD
My brother can not obtain an erection.  He just visited the doctor that placed stints in his legs 4 years ago.  The test on legs appeared they were still pumping OK.

He is 71 years of age.  Just took him to see his vascular doctor.  They did some scans and checked something through his neck and these were OK.

Problem:  When they performed the procedure to see is there was any other blockages that could be causing erectile dysfunction they found he had abdominal blockage all around the penis area and could now be fixed without major surgery and he is terrified of that and I think has given up.

Questions:  How serious is this surgery and has it been proven to be effective and what side effects could one expect.  Also, he has prostate (enlarged) problems and has not had that checked in awhile.

The doctor told him even if he had the major surgery they still would have to use some type Viagra.

Please advise what all this entails and if it is important for the surgery.  Could this blockage eventually affect his urination and leg stints and end up on losing his legs or end up on dialylis?

I need some answers since now he is worried and depressed.  I am no worried about his obsession to have his peins work but I am very concerned about this other blockage.

The doctor sent him home and said come back in six weeks.

I really need from positive feedback as to let go as it or have surgery?

Thanks, Mary ( Mr. Doshier's Aunt)

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