Is numbness and floppiness in the penis a concern?

Hello,

Welcome to icliniq.com.

I understand your concern.

About the twisty or prominent veins:

1. Superficial veins on the penis, especially around the base and shaft, can become more visible with age, after sexual activity, or due to trauma (e.g., aggressive masturbation, prolonged erections, or minor injuries).

These twisty, prominent veins can look alarming, but they are often normal unless:

1. They are tender or painful.

2. There is swelling, bruising, or a hard lump.

About the erectile dysfunction (ED) and numbness:

1. Persistent ED with numbness for two months is not normal and warrants urgent evaluation.

Possible causes:

1. Nerve compression or damage: Prolonged cycling or perineal trauma can injure the pudendal nerve, leading to numbness and ED.

2. Vascular insufficiency: Blocked or damaged arteries/veins can reduce blood flow, causing floppy erections.

3. Venous leak: If blood leaks out too quickly from the penis during an erection, it can prevent firmness. This can sometimes relate to prominent superficial veins, though usually it's deeper venous structures.

4. Peyronie’s disease (early stage): If there is any curvature, nodules, or firmness, this is worth exploring. Psychological factors can play a role, but numbness typically indicates an organic or physical cause.

What you should do:

1. Please see a urologist.

2. Penile Doppler ultrasound with injection to assess blood flow and venous leak.

3. Neurological evaluation for pudendal or pelvic nerve damage.

Blood tests:

1. Total and free testosterone.

2. Hemoglobin A1c (to rule out diabetes).

3. Lipid profile.

4. Thyroid function.

What you can do now:

1. Avoid masturbation or any trauma to allow recovery.

2. No cycling or sitting on hard surfaces until a doctor clears you.

3. Wear supportive underwear to prevent traction injuries.

4. Avoid nicotine, alcohol, and stress.

5. You may try the tablet Tadalafil (Cialis) 5 mg (milligrams) once a day or once a week to see any possible improvement.

Bottom Line:

1. The veins may not be the primary issue, but the numbness and erectile issues are concerning.

2. Please do not delay seeing a urologist in person, especially if this has persisted for two months.

3. Early treatment has a much better outcome, especially for nerve or vascular issues.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.