Please help me out here.
I first noticed my problem 3-4 Months ago. My problem started out with mild swelling on the right side of my shaft. I noticed this years ago when I would masterbate too much. Before I would just stop for a while and the swelling would go down. This time since the swelling was minimal I ignored it and kept masturbating for a week or so. All of a sudden one morning the swelling was huge! During erections my penis was extremely hard I even got stretch marks on the right side of the shaft. After a few days the swelling went down a little bit and although my penis still has swelling on the right side just like in the beginning. This hasnt gone away whatssoever. Also, when I flex my penis to pee it doesn't go up and down anymore. It just twists left. When I do get an erection I cannot turn it to the right since it will not allow me, but if I try and turn it to the left it feels as if nothing is stopping me. When my penis is flaccid it will hang toward the left much more than usual, my base looks tiny, and my right side of my penis is swelled more.
I don't ever remember injuring my penis via blunt trauma or any pain like that. I do masturbate without lube and was wondering if that was it? I don't see how but maybe. I have gone to several doctors and some cant figure out what is wrong. They checked me for PD but they said I do not have it because there are symptoms that I have that doesn't have anything to do with PD and they cannot find any plaque whatsoever.
I can understand your concerns and will try my best to explain things to you.
A normal erect penis has a slight curvature, usually upwards but it can also be downwards or sideways. A slight bend of 15-20 degrees is normal. A more pronounced bend is called as Peyronie's disease (PD).
Your doctors do not think you have PD because normally it is associated with some erection problems and there is no swelling on one side. However, your inability to bend it one way (to your right) could be due to PD. An ultrasound can be diagnostic in case there is a doubt (the scar tissue causing the bend is identified on ultrasound). If you are diagnosed with PD, then the treatment can be through medications or surgery.
Medical treatments of PD include drugs like colchicine, potassium aminobenzoate, or vitamin E given IV, or drugs like steroids, collagenase, verapamil, and interferons injected into lesion or given topically. Surgical treatment includes plication, grafts and prosthesis, and is reserved for patients not responding to conservative therapy or who cannot perform intercourse due to the curvature.
The other possibility is that you have a soft tissue swelling which is making it impossible for you to turn the penis towards right. This soft tissue swelling could be a cyst, a blocked blood vessel or a blocked lymphatic vessel (due to infection, inflammation or cancer). Again a dopplar ultrasound of penis should be able to diagnose this. If a blood vessel is blocked, then the swelling due to blood engorged veins may not settle down after erection subsides. If the swelling is close to the head of penis, then it can be an extension of balanitis.
Priapism too can cause penis to remain swollen after masturbation. One type of priapism is low flow type due to blocked blood vessels. The other type is high flow type due to increased blood flow. Sickle cell anemia and other blood disorders, trauma and leukemia are the predisposing factors. Blood tests, ultrasounds and urine tests will be required for diagnosis. Treatment is both medical and surgical as the need may be.
I have listed all the possibilities and how they can be diagnosed. Depending on the cause, the treatment may be medical or surgical. Please discuss with your urologist. Meanwhile you can apply a cool compress after masturbation and see if helps the swelling to subside.
I sincerely hope you will find this information useful. Good Luck and take care!
Dr. I can not turn it because it is not supposed to turn. When having an erection the penis should not be able to twist freely as if it were flacid. I think maybe you misunderstood me. While erect I can twist it to the left freely which alarms me. While it hangs flaccid it favors more so to the left now. And when I flex it it doesn't go up it just twists and moves further left. Could I have torn a ligament that gives it stability on one side? Maybe that would affect blood flow?
Yes, it can be an injury to suspensary ligaments of penis. It can also be a blood flow problem or even priapism. Soft tissue injury can also cause swelling on one side and ability to bend penis on the other. An ultrasound should first be done. A ligament injury should heal by applying cool compress, taking non-steroidal anti-inflammatory medications like Aleve and Mobic annd avoiding masturbation for some time. However, please discuss all the above mentioned conditions with your doctor.
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