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Mid shaft ribbed tunica bump

I gained a more pronounced rib since starting clamping. No pain. If anything, it just adds girth. Perhaps it is a positive sign of growth?

Hey Guys!

I have had no problem with this.
Like Penisman1234 said, “extra ribbing”, something like that.

I recently had an injury about a month ago while having missionary sex with my girlfriend, I heard pop sound, felt a weird sensation, and starting to become very anxious. I am posting in this thread because my “injury” looks similar to what the orginial poster’s picture looks like. After the injury happened, I went to the urologist and he did an ultrasound and said wait 2 weeks, and try sex again. I was/am able to get hard and had sex three times successfully. My one problem is that there is a bump, that looks very similar to the op’s picture, on the right side of my penis. Sometimes throughout the day it will ache for 1-3 minutes and then stop. I also have two new pronounced veins on each side of the base of my penis, they were never as big as they are now. My balls sometimes ache also, which causes me to think it is my penis, but it is definitely from my testicles. This started happening after I saw the urologist, and I am not sure if this is related. My main symptoms are that my penis looks the same as the OP’s almost, the bump on the right side of the penis mid shaft. One of my morning erections “hurt” (I felt the ache feeling), my other morning erections have been fine. My penis is still straight when I am erect, just on the right side the part where the bump is just makes my penis a little “wider” (from top of shaft to halfway down).

I am concerned whether I rushed too fast into sex, my urologist said 2 weeks and my girlfriend and I attempted it about 4-5 days earlier than I should have.
The ache is concerning, but it is not PAIN painful, just a dull ache once in a while. I do not know if I should be icing everyday and continue to take Aleve like the first 3-4 days after I saw the urologist.
The urologist said there was some small damage, I am not sure if it was to the corpus cavernosum.

My biggest fear: Will this cause me to develop Peyronie’s? I don’t think so because the injury is not at the under-side or top-side of my penis, it is on the side. I still hope plaque does not form?

I’m sorry to hijack this thread but please help!

No it will not develope Peyronie’s. It sounds like a minor tunica damage; I am not an urologist but I think it will need more than two weeks to completely heal.

Balls aching, couldn’t it be just blue balls? Otherwise you could have uretris and/or prostatitis; I think you’d have other symptoms in the latter case though.

Originally Posted by marinera
No it will not develope Peyronie’s. It sounds like a minor tunica damage; I am not an urologist but I think it will need more than two weeks to completely heal.

Balls aching, couldn’t it be just blue balls? Otherwise you could have uretris and/or prostatitis; I think you’d have other symptoms in the latter case though.

Thank you so much! I understand you’re not qualified but I’m assuming if you frequent this board you are probably very knowledgeable on the topic. I’m still very relieved to be hearing this, it’s been causing me a lot of anxiety. The whole balls aching thing, it feels like the Epididymis is the part that aches, I’ve had an injury there before from hitting my balls against a hurdle during a track race, so maybe it is just acting up.

Regardless, thanks a lot for the help. I do still plan on going to the urologist to follow up, should I ask him to do an ultrasound again and see if it is healing? Will he be able to tell? And How long do you think I should lay off of sex/masturbation for?

Thank You.

Minor grades of penis fracture are not detected with sonography (ultrasound), the best would be MRI, and second comes cavernosography. Minor penis fracture generally heal spontaneously without consequences, the time required can vary a lot depending on a number of factors. Vitamin E and B6,12 can help speeding up a bit the healing.

Originally Posted by marinera
Minor grades of penis fracture are not detected with sonography (ultrasound), the best would be MRI, and second comes cavernosography. Minor penis fracture generally heal spontaneously without consequences, the time required can vary a lot depending on a number of factors. Vitamin E and B6,12 can help speeding up a bit the healing.

That’s weird, because when he gave me an ultrasound the first time I went he said the bloodflow was all normal but he did see a minor injury? If you could give me a rough estimate on how long I should give it a break I would appreciate that, and I’ll definitely pick up those vitamins, at least the Vitamin E since I always hear about that one when it comes to these type of penile injuries.

Should I ask the urologist to do an ultrasound to see if it has been healing or should I ask for an MRI?

Would it be better to private message you?

” Ultrasound has a limited role in the diagnosis of penile fracture (12-14). As it is an examiner-depending method, for which interpreting depends on the examiner’s experience, rareness of these lesions often precludes an accurate diagnosis (12). Small albuginea disruptions and the presence of clots at the place where fracture site occurred may easily be unperceived (12-15).
……………………
Magnetic resonance imaging has been also used for demonstrating corpus cavernosum lesions (11,12,16,17). Its high accuracy can discriminate the intensity of corpora cavernosa vascular sinusoids (high intensity) relative to tunica albuginea (low intensity), allowing for accurate diagnosis (12,16,17). Nevertheless, it is a high-cost exam, and it is not available at most institutions. In our series, only 1 patient (with diagnostic uncertainty) was submitted to this exam, with an accurate confirmation of the lesion.”
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282318/

See also
http://www.urology-textbook.com/penile-fracture.html

You don’t have a penile fracture (tunica rupture), I think your doctor made the correct diagnosis. Tunica ruptures require 6 months on average to heal; minor injuries less than that obviously, but how much time? It is impossible to guess. There is no reasons to suspect that your injury will not heal. I don’t think you want surgical intervention if you have no pain and can have erections, so the sole thing to do is to put your anxiety at rest and let it heal.

Originally Posted by marinera
” Ultrasound has a limited role in the diagnosis of penile fracture (12-14). As it is an examiner-depending method, for which interpreting depends on the examiner’s experience, rareness of these lesions often precludes an accurate diagnosis (12). Small albuginea disruptions and the presence of clots at the place where fracture site occurred may easily be unperceived (12-15).
..
Magnetic resonance imaging has been also used for demonstrating corpus cavernosum lesions (11,12,16,17). Its high accuracy can discriminate the intensity of corpora cavernosa vascular sinusoids (high intensity) relative to tunica albuginea (low intensity), allowing for accurate diagnosis (12,16,17). Nevertheless, it is a high-cost exam, and it is not available at most institutions. In our series, only 1 patient (with diagnostic uncertainty) was submitted to this exam, with an accurate confirmation of the lesion.”
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282318/

See also
http://www.urology-textbook.com/penile-fracture.html

You don’t have a penile fracture (tunica rupture), I think your doctor made the correct diagnosis. Tunica ruptures require 6 months on average to heal; minor injuries less than that obviously, but how much time? It is impossible to guess. There is no reasons to suspect that your injury will not heal. I don’t think you want surgical intervention if you have no pain and can have erections, so the sole thing to do is to put your anxiety at rest and let it heal.

I went to the urologist today to check out the aching in my testicles and my penile injury. He said my testicles look normal, my epididymis is a little bigger than normal but not a problem, doesn’t think there is an infection. He found blood in my urine though, I know this happens sometimes but he wants to be careful because of my whole penis injury. No sex until I see him again (in two weeks from today) and I am on an anti-inflammatory called Meloxicam, and he wants me to apply heat to my testicle/penis area twice a day for 2 weeks, then we are going to do another check up to see how its going

I am sure he knows his shit, don’t worry.

Originally Posted by marinera
I am sure he knows his shit, don’t worry.

I’m trying not too, he calmed my anxiety down but then I torture myself and start reading Peyronie’s symptoms and stuff and get all nervous again..
Not going to search about that anymore, seriously hoping I don’t have that or develop that

Thanks for all the help

Peryonie’ disease is believed to be triggered by penile traume; this is probably not true tough, is just an hypothesis due to lack of better knowledge. In Iran there ws a big follow up study on about 300 cases of penile fracture; none of them developed Peyronie’ disease. I can search the study if you are interested.

Originally Posted by marinera
Peryonie’ disease is believed to be triggered by penile traume; this is probably not true tough, is just an hypothesis due to lack of better knowledge. In Iran there ws a big follow up study on about 300 cases of penile fracture; none of them developed Peyronie’ disease. I can search the study if you are interested.

I may post my long first original post on the Peyronie’s forum, but from what I have been reading there and researching, most of these guys Peyronie’s disease occurred out of the blue (and these men are all older from 40-60 years old), I am 20 years old.

Also, I’m thinking even if an injury did cause peyronies, the injury would have to be on the top of the penis, or the underside, not on the right side like where mine is, and its been a month since my injury and there is no new curvature or anything. I’d like to read the research too though if you could find it.

Thank you

J Urol. 2004 Jul;172(1):186-8.
Trauma as the cause of Peyronie’s disease: penile fracture as a model of trauma.
Zargooshi J.
Source
Department of Urology, Kermanshah University of Medical Sciences, Kermanshah, Iran. zargooshi@yahoo.com
Abstract
PURPOSE:
This study was performed to determine whether patients with penile fracture or a long history of forcefully bending the erect penis (taqaandan), as models of acute and chronic penile trauma, had an increased rate of Peyronie’s disease (PD).
MATERIALS AND METHODS:
The study included 193 surgical cases of penile fracture (average followup 85 months), 150 cases of long history of taqaandan, and 50 cases of PD. All 3 groups of patients were interviewed and physically examined.
RESULTS:
Signs of PD were found in only 1 case of long-term taqaandan and in no case of penile fracture. None of the 50 cases of PD had a history of penile fracture.
CONCLUSIONS:
Severe, acute trauma of penile fracture and moderate, chronic buckling injury of taqaandan are not associated with later development of PD. These findings question whether the hypothesis that trauma, trauma-induced smoldering inflammatory cascade and aberrant wound healing are the main causes of PD. Alternative, plausible, evidence based explanations should be sought for the etiology of PD. Any theory on the etiology of PD should provide an explanation for total lack of occurrence of PD following the trauma of penile fracture.

http://www.ncbi.nlm.nih.gov/pubmed/15201768

Originally Posted by marinera
J Urol. 2004 Jul;172(1):186-8.
Trauma as the cause of Peyronie’s disease: penile fracture as a model of trauma.
Zargooshi J.
Source
Department of Urology, Kermanshah University of Medical Sciences, Kermanshah, Iran. Zargooshi@yahoo.com
Abstract
PURPOSE:
This study was performed to determine whether patients with penile fracture or a long history of forcefully bending the erect penis (taqaandan), as models of acute and chronic penile trauma, had an increased rate of Peyronie’s disease (PD).
MATERIALS AND METHODS:
The study included 193 surgical cases of penile fracture (average followup 85 months), 150 cases of long history of taqaandan, and 50 cases of PD. All 3 groups of patients were interviewed and physically examined.
RESULTS:
Signs of PD were found in only 1 case of long-term taqaandan and in no case of penile fracture. None of the 50 cases of PD had a history of penile fracture.
CONCLUSIONS:
Severe, acute trauma of penile fracture and moderate, chronic buckling injury of taqaandan are not associated with later development of PD. These findings question whether the hypothesis that trauma, trauma-induced smoldering inflammatory cascade and aberrant wound healing are the main causes of PD. Alternative, plausible, evidence based explanations should be sought for the etiology of PD. Any theory on the etiology of PD should provide an explanation for total lack of occurrence of PD following the trauma of penile fracture.

http://www.ncbi.nlm.nih.gov/pubmed/15201768

Ahh I’ve seen that before. I assume that is from intense penile fractures and not a small injury like I had, but it can still give me a sigh of relief. My plan now is to try and stop thinking about everything that is going on, focus on other things, take my anti-inflammatory, go buy vitamin E just incase, and keep applying heat. At my next urologist appointment, I am going to ask about peyronies and if he thinks I can be at risk to develop it. Should I ask for a normal ultrasound to see how my injury is going or ask for a doppler ultrasound?

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