I had an injury on penis with blood clot and prominent veins on the side. Will it settle over time?

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

You had an injury over the base of the penis and had a hematoma over there, and there are prominent veins at the side of the injury. Let me first assure you it was most probably a superficial injury. As you are not having any erectile dysfunction or any deformity after erection, the injury has not involved the deep layer of the penis, which is also called tunica albuginea. So you need not worry. The veins, even if prominent, will cause no harm. It will create a few collaterals, and drainage will be as fine as before. But if you are still anxious, you can undergo a USG (ultrasonography) and Doppler study of the penis. It will tell you about the integrity of tunica albuginea, as well as the competence of blood vessels supplying the penis. It is only to assure you. You can also visit the office of your local urologist as you need clinical examination too. But do not worry.

I hope everything will be fine soon.

Kind regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

The prominent veins may resolve with time or may not. But my point was the veins did not do any harm. You should undergo USG and Doppler study of the penis. It will tell you about the integrity of the tunica albuginea of the penis as well as the blood supply of the penis. The prominent veins may stay, but they will develop collaterals and will not do any harm. I suggest you consult with your local urologist as you need a clinical examination too. He will palpate the penis, feel the corpora, and will plan further management. But I think you do not have deep tissue injury as you do not have erectile dysfunction and deformity of the penis.

Hope this helps.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your query and concern.

If you do not have any erectile dysfunction or penile deformity, you can wait and watch. No need to worry. I suggested one visit to a local urologist as you are anxious regarding this condition. You can wait for a few more weeks, and if you feel any problems or the symptoms that I mentioned before, you can visit a urologist. Now regarding the veins. These are superficial veins that may have disrupted the drainage system due to trauma and hematoma. Collaterals mean these veins will find out a new way or channel for drainage. This is the beauty of the human body. For minor issues, it creates a way out or solves its problems by itself. Hence the veins you see are not collaterals. These are rather obstructed engorged veins. But do not worry. They will find their drainage channel by themselves. So, if possible, please undergo the USG and Doppler study of the penis. If it is within normal limits, then sit and relax. Your history suggests that everything may be within normal limits.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Absolutely. Your understanding regarding this condition is absolutely perfect. You can certainly wait and watch. But as a doctor, I suggest you a visit urologist, as I did not see you clinically. But your history and the photographs (attachments are hidden to protect the patient's identity) of your clinical condition suggest that you can wait and watch. If you face any problem like ED (erectile dysfunction) or deformity, etc, you should go to a urologist.

Wish you a very early recovery.

Thank you.

Hello,

Welcome back to icliniq.com.

I have gone through your queries.

Let me answer one by one. The appearance of your penis is absolutely normal in the photographs (attachments are hidden to protect the patient's identity). Even the veins seen are normal. No engorgement is present as of now. You do not have erectile dysfunction also. So the anatomical and physiological integrity of the penis is well maintained. Now regarding the time frame for developing collaterals. There is no time frame mentioned in any of our urology textbooks, as far as my knowledge is concerned. But usually, it takes around two to three months. You need not do anything or need not abstain from sexual intercourse as you are having an absolutely normal penis. You can undergo one USG Doppler study of the penis for documentation of the normal status of the penis and to get relief from anxiety. Do not worry. Though I have not seen you clinically, I guess from your history and the photographs you are in an absolutely normal state. Still, you can contact your local urologist for clinical examination and further management.

Revert in case of queries.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes. You have understood it in a very clear way. The veins may have been persisting there from before the incident of trauma happened. You did not observe it before. But after the trauma, you may have seen it, and you got anxious. But it is absolutely normal and will not hamper the future function of the penis. So, do not worry. You are in an absolutely normal state.

Revert in case of queries.

Thank you.