This community has an amazing resource of veterans and very knowledgeable people that give very good advice.
READ THE WIKI . Every now and then there is a bit of bro science that comes into play with medical stuff. Believe it or not, I’m actually a medical doctor (MD) in the US and I wanted to compile some actual medical information to hopefully help someone. I am not a urologist (penis doctor) so I am absolutely NOT an expert in this stuff. I’d be willing to bet the veterans on here know more than me on some of this stuff. That also means take all of this information with a grain of salt. This is not me giving medical advice this is me compiling/summarizing information. If you have any issues it’s smartest to SEEK MEDICAL ATTENTION. That being said , hopefully this helps somebody.
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Penile fracture (really really bad)
Defintion: tear in the tunica albuginea. The tunica albuginea is the rubbery sheath of tissue below the skin that allows the penis to increase in width and length to produce a firm erection.
Symptoms: hear/feel a pop in penis. Immediate PAIN AND BRUISING. Immediate loss of erection. EGG PLANT SIGN. see pic below. If you don’t have the egg plant sign you did not actually fracture your penis.
What it looks like
Cause: trauma. Most commonly something physically hitting your dick or bending erect dick with force aka if woman on top, Dick slips out and she comes down on it at an angle. OVERLY AGGRESSIVE PE.
Treatment: SURGERY! need to go to Emergency room immediately. Sooner it’s corrected the lower the chance of permanent damage.
More info
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Penile suspensory ligament damage
Suspensory ligament is connective tissue that connects the penis to the bones of the pelvis. This can be torn, partial torn, or strained from trauma or PE. Most commonly when the erect penis is pushed down with force. Can also occur from aggressive stretching.
Symptoms: can feel a click or pop sensation. Pain in the upper penis at the base, especially with arousal/erection. This often leads to poor erection quality.
What it looks like. I can’t find any good images of a tear bc technically it’s not a visible injury but here is what suspensory ligament looks like.
here
Treatment: See a doctor. If minor damage, rest and over the counter pain relievers (I would recommend Ibuprofen as it is an anti-inflammatory medicine), and rest. If warm compress is soothing, this can be used as well. If ligament is torn, surgery is necessary to correct. Usually imaging like an MRI or exam by a urologist is the only way to know if a ligament is torn or not for sure. However, with complete tear, you can actually feel a gap between the pubic bone and penis. (I'd recommend you all take a feel now to know what normal feels like.)
My thoughts: Technical tearing your suspensory ligament is a crude form of the penis enlargement surgery when that ligament is surgically cut. The problem with this injury is that the penis can become very unstable which can make sex harder and increase risk of penis coming out during sex, which would then increase risk of penile fracture for example.
more info. not my favorite link but best free link I could find
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Lymphangiosclerosis (
one of the most common things I get asked about)
Defintion: hardening of the lymphatic ducts in penis
Symptoms: You can feel a painless cord or hard “spaghetti noodle” like cord around head of penis or extending along the shaft. More prominent with erection but can also be seen and felt flaccid. Most guys mistake it for an enlarged vein.
What it looks like
what it looked like on me
Cause: overdoing it with PE or really aggressive masturbation. Anything that is going to irritate those lymphatic channels in the penis or for example when pumping/clamping and you are literally forcing fluid into those channels for prolonged periods of time.
Treatment: A bit unclear. Best thing to do is rest from what I have researched. Aka stop PE and stop masturbation. Sexual intercourse is still fine. I personally experienced this and I took about a 6 to 8 week break it it finally went away. I also had it start to return and I just decrease the amount of PE that I did and it still went away. So if it happens to me again I’m probably still going to do PE just decrease frequency and duration. If it does not resolve it can require surgery to fix.
more info
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Penile edema: Fluid accumulating in your penis causing swelling
Causes: really anything that can cause prolonged blood/fluid in penile tissue. Most commonly I see it with people who pump for too long. Other causes
-Balantitis: inflammation of the head of the penis. Often in uncircumcised males and caused by an underlying infection
-sexually transmitted infections (STI) can also cause swelling along the head of the penis but are usually associated with pain or burning with urination and sometimes discharge from the penis.
Treatment: if it’s from prolonged pumping or clamping, you might want to back off and decrease the amount of time per session. Regardless it should resolve with enough time after your PE session on its own. If it’s from balantitis or STI It might require treatment with antibiotics or antivirals so seek medical attention.
This Is where my lack of experience comes into play. I have seen some people on here recommend silicone sleeves if there is swelling during pumping to prevent “donut” edema. but you will have to ask those. Maybe some of the vets can comment below. Or just read wiki
What it looks like
donut edema
Balantitis
Please clean your devices and wash hands prior to PE to minimize risk of infection in general!! If you don’t you are also at risk of a urinary tract infection aka burning when you pee
more info
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Phimosis (ONLY FOR UNCIRCUMCISED)
Definition/symptoms: inability to retract (pull back) the foreskin of penis to expose the head of the penis.
what it looks like
Causes: can occur naturally or could be secondary to infection or inflammation (see balantitis above)
Treatment: often times will resolve on its own. If it is prolonged and you are unable to urinate(pee) you need to seek immediate medical attention. If it’s secondary to infection you might need antibiotics. Also sometimes steroid creams are necessary. You can also manually decompress by applying constant pressure with your hand. (I had to do this as a medical student once for a patient)
My suggestion: retract foreskin prior to PE when you can to help minimize this risk.
more info
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Peyronie’s disease
Definition/symptoms: Scarring or plaques Can develop a long shaft of the penis causing it to bend or become indented during erections. Areas of scarring or plaques can be very painful to the touch
Causes: caused by minor injury to the penis. This type of damage is most often caused by vigorous sex (such as bending the penis during penetration or pressure from a partner's pubic bone), though it can also be caused by sports or other accidents.
What it looks like
Treatment: sometimes if mild can resolve on its own. There are medications, topical ointments, injections, and surgery if severe enough. Believe it or not there’s evidence to suggest that pumping and manual stretching is actually a treatment for it.
My thoughts: this makes me the most nervous about doing PE. A lot of the things we do can actually cause micro trauma which could in fact lead to scarring and in theory increase risk. Especially some of these extreme stretches like the blue whale/Mandingo stretch. However as you just read, most PE is actually treatment for it so just be careful and be smart. Be aware if you start noticing a bend to your penis.
more info
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Penile cancer (
CANNOT BE CAUSED BY PE, but I am a oncologist so I had to include. Most people in this group are young but having this information now could potentially save a life further down the line. But once again, This cannot be caused by PE)
Definition: cancer of the penis (RARE)
Symptoms: Usually starts as a small lesion or blister that continues to grow. Can itch or burn. Usually has discharge or purse associated with it.
Risk factors: age of over 60, smokers, HPV, HIV, not circumcised
what it looks like
Treatment: surgery, chemotherapy, and or radiation treatments. Early diagnosis is key for good outcomes.
more info
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Burning when you pee -Urinary tract infection (UTI) aka cystitis (bladder infection) -trauma or irritation to urethra
Definition: bacterial/yeast infection of the urethra (The tube that carries urine out of the penis from the bladder) and bladder or trauma to urethra.
penile urethra
Symptoms: Burning sensation with urination
Causes: bacterial exposure to the head of penis. I would say biggest risk for this group would be from not appropriately keeping devices clean and washing hands prior to PE. Bacteria especially E. coli is commonly present on your hands and objects.
Other causes of burning when you urinate could be inflammation or irritation of the head of the penis especially at the urethra from aggressive PE or trauma. For example, if penis is bent at weird angle it can put strain and irritate urethra. Just because there is burning when you urinate does not mean you have an infection. Even eating really spicy foods can cause burning when you urinate. An infection will continue to get worse. Other causes will go away with when the activity causing them is stopped.
Treatment: A True infection is treated with antibiotics or antifungals.
Make sure to wash hands and keep devices clean to minimize risk AZO is a very effective over the counter medication for burning with pee. I would caution use of this bc this could lead to an infection being untreated if you have one. If burning lasts more than a couple days seek medical attention.
more info
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Priapism: erection lasting more than four hours or off and on for several hours. The penis is usually painful or tender.
Treatment: usually can be treated with noninvasive means like compression, ice, and medications that can restrict blood flow. Only an extreme conditions is aspirating, or literally sticking a needle into the penis to drain blood necessary.
What it looks like: We all know what hard dick looks like.
My thoughts: ischemic priapism can cause serious complications. The blood trapped in the penis is deprived of oxygen. When an erection lasts for too long, this oxygen-poor blood can begin to damage or destroy tissues in the penis. As a result, untreated priapism can cause erectile dysfunction. So when I see guys pumping or clamping for multiple hours it makes me nervous that there’s not adequate blood flow to the penis. But I honestly I do not know facts on how risky that stuff is or is not. I pump in 5 to 10 minute intervals for a max of 20 minutes daily because of my concern for this but I don’t know exactly how warranted it is. Vets that actually have medical facts (not opinion) please chime in below on your thoughts.
more Info
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For the other common issues please see the wiki.
link. I will only give brief descriptions because of how well it’s detailed in the other section.
Hard flaccid: lower erection quality often times with loss of Morning wood.
Discoloration/minor bruising
Numbness
Blood/bleeding from head of penis
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I spent quite a bit of time on this so I hope it’s helpful and will hopefully prevent someone from freaking out when it’s not needed. Good luck with everybody on the journey. Please do it safely.
Remember, there’s no point in having a big dick if you can’t use it so please be careful you can do it safely.
Also, please don’t be a dick. if you disagree with a point, I CAN AND WILL edit this post if appropriate and I already said I’m not an expert. Just trying to be helpful.
Thank you for listening to my TED talk
Absolutly amazing content.
If you dig around, there is a lot of content in this community in places like Thunder's Place and the GoodLookingLoser Forums. It's very tied into PUA and underground bodybuilding, and these dudes swear to God and back it works but it may not be worth hanging plates off your cock for hours at a time.
