A bruise on the penis, also known as a penile contusion, occurs when small blood vessels beneath the skin rupture. This leads to discoloration and tenderness, with the skin typically changing from red or purple to green and yellow as it heals. While often a minor injury, it can still be a source of concern.
Causes of Penile Bruising
Penile bruising often results from trauma or injury. Vigorous sexual activity is a common cause, where forceful bending or impact can rupture delicate blood vessels. Accidental trauma, such as getting caught in a zipper or direct impact during sports activities, can also lead to bruising.
Tight clothing, which can restrict blood flow or cause friction, may also contribute to minor bruising over time. More severe injuries, like a penile fracture, can also cause extensive bruising. A penile fracture involves a tear in the tunica albuginea, the fibrous tissue surrounding the erectile chambers, and is typically accompanied by a popping sound and immediate loss of erection.
When to Seek Medical Attention
Certain symptoms warrant immediate medical consultation. Severe pain, significant swelling, or difficulty urinating are concerning signs that require prompt evaluation. A noticeable deformity or an unusual bend in the penis, especially if accompanied by a popping or cracking sound at the time of injury, suggests a penile fracture, which is a medical emergency.
Bruising that does not improve within a few weeks, or if it is accompanied by a fever or other signs of infection such as discharge or persistent redness, also indicates a need for medical assessment. Blood in the urine or at the tip of the penis after an injury is a serious symptom necessitating urgent care. These symptoms suggest potential underlying damage to the penile structures or urethra.
Managing a Penile Bruise
For minor penile bruises, self-care measures can help manage discomfort and promote healing. Rest is important; avoid sexual activity or masturbation until the pain subsides. Applying a cold compress, such as an ice pack wrapped in a cloth, to the bruised area for 10 to 20 minutes can help reduce swelling and discomfort, particularly in the first 24 to 48 hours after the injury.
Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Wearing loose-fitting clothing can also reduce friction and pressure on the bruised area. For more severe cases, a doctor may perform a physical examination, potentially followed by imaging studies like an ultrasound or MRI, to assess the injury and determine treatment, which could include surgical repair for conditions like a penile fracture.
Preventing Future Bruises
To reduce the risk of future penile bruising, be mindful during sexual activity. Use adequate lubrication to prevent injuries from friction or forceful movements. Avoid overly aggressive or acrobatic positions that could lead to bending or impact.
Wear appropriate protective gear, such as an athletic cup, during contact sports or other physical activities. Exercise caution to avoid accidental impacts, like being aware of surroundings or handling zippers carefully.