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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > Swollen and bruised testicles and scrotum
Expert: Arthur Goldstein, M.D.
Date: 8/25/2008
Subject: Swollen and bruised testicles and scrotum
Question
I was having sex with my girlfriend earlier today, during which we went to change positions. when i thrusted back in i hit her inner thigh and my penis rather then bend, pushed straight back into my body. After this there was intense pain in my perineum, i lost my erection, and my scrotum and testes began to swell. Its been about 5 hours and now my scrotum is the size of a softball, bruised, and very sensitive. What damage could i have done to cause this and is it serious?
Answer
Sean, there is no doubt that you tore some blood vessels (most likely veins) but there is the possibility that you ruptured one of the membranes of the erectile bodies of the penis. If so, this is called a "penile fracture". Penile fractures are typically very obvious. They generally occur when while having vigorous intercourse, on thrusting inward, the penis misses the opening and forcefully strikes your partner's pelvis. This is accompanied by a cracking sound, similar to snapping a twig. The penis immediately becomes limp, swollen and bruised. The fracture is actually a tear in the membrane around the corpora cavernosa (erectile body). Minor tears may heal without treatment but larger ones are best repaired surgically. If left alone, the scarring that occurs during the healing process, may cause some curvature of the penis with erection. The safest procedure, is to make an appointment to see a urologist today if possible. They will generally give you a same day appointment if you explain the situation to them. An examination in the office is necessary to make a proper diagnosis. Good luck.
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