Penile vein enlargement

One of the veins around the 'collar' of my circumcised penis seems to have become much more prominent and seems slightly swollen.
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The blood then drains through the veins that run across the surface of your penis. This significant increase in blood flow can make the veins appear much larger than usual. You may not see these veins when your penis is flaccid, because during this time very little blood is flowing through them. The size of your veins has no impact on your ability to get or maintain an erection. Some conditions that impede blood flow, such as blood clots, can affect vein size and have some effects on erectile function. Vein size can vary over time as a result of sexual activity or because of an underlying condition that affects penis blood flow.

When you get an erection, about milliliters 4. The blood remains there, engorging the penis tissue, until you ejaculate or the erection goes away. The blood from the tissues then flows back to your heart through the veins in your penis, causing them to look more swollen than usual. This is a normal part of getting an erection. Varicocele are enlarged veins that can appear on your scrotum, giving them a veiny appearance.

Varicocele are also called varicose veins, similar to the enlarged veins that often appear on your legs. Around 10 to 15 of every men have varicocele somewhere on their scrotum. If you feel any pain and discomfort, see your doctor. They can assess your symptoms and advise you on any next steps. Enlarged veins can usually be treated with surgery. If left untreated, varicocele can affect blood flow out of your penis. This can go on to interfere with sperm production and cause:.

A blood clot thrombosis can develop in your veins when a mass of blood cells bunch together within a blood vessel. This limits or blocks blood flow through the vessel. Penile blood clots usually develop in the penile dorsal vein, which is located on the top of your shaft.

Blood clots can cause pain along with visibly enlarged penis veins. You may notice the pain more when you get an erection. The affected veins may feel firm or tender to the touch even when your penis is flaccid. Penile blood clots can have many causes, such as penis injury, frequent or lack of sexual activity, or penile tumors. See your doctor right away if you notice any pain during an erection or when you touch the veins in your penis.


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Surgeries performed on blood vessels in your penis, scrotum, genital area, or even your legs can affect blood flow to and from the penis. See your doctor if you notice that your penis has become more veiny than usual following a surgery. But if the appearance of your veins if causing you distress, talk with your doctor. They can assess your symptoms and diagnose any underlying issues. If your penis has turned an unusual shade of red or purple, you may be experiencing an infection or another underlying condition. Here's what to do. Having an itch on or around your testicles or scrotum isn't uncommon.

Sweating in your groin after taking a walk can cause your balls to itch more…. It probably develops secondarily to vascular endothelial trauma. Some of these patients have history of one or more sexually transmitted diseases. The lesion is on the dorsum of penis in all of the patients.

I have a swollen vein in my penis

It is close to radix of the penis in many patients while it is close to sulcus coronarius in some patients [ 13 ]. The lesion usually extends to the suprapubic region. The thrombosed vessel is adhered to the penile skin covering it. The vessel may appear as swollen and erythematous. The thrombotic vessel may occasionally be seen in the superficial pudendal vein.

There are no typical changes in the serum. Laboratory investigations showing tendency to thrombosis are rarely required. In pathological examination, the most important differential diagnosis is sclerosing lymphangitis of the penis. It is very easy for the microvascular structures to be confused with the lymphatic system. Immunohistochemical investigations may separate them. Histopathological examination may reveal swelling in the endothelial cells, increased connective tissue in the vessel wall, thrombus, and infiltration of the lymphocytes, histiocytes, and the plasma cells in the perivascular area.

Differential diagnosis with sclerosing lymphangitis is made by staining of the endothelium with monoclonal antibodies to CD31 and CD No staining with these antibodies occur in sclerosing lymphangitis. Color Doppler ultrasound examination plays important role in differential diagnosis of two conditions of the penis: In Doppler Ultrasound US examination, dorsal vein thrombosis and hemodynamic changes due to it are observed.

On the color Doppler US, no color filling and flow spectrum is observed in the lumen of superficial vein. Color Doppler US examination of the cavernous arteries reveal low-speed, high-resistance flow pattern. Cases diagnosed with magnetic resonance angiography have been reported in the literature [ 12 ]. History and physical examination is of primary importance in the diagnosis. Color Doppler US may be used when necessary. But role of the MRI is controversial.

Both physical examination and color Doppler US reveal that the hardness is not on the tunica albuginea. Sclerosing lymphangitis is a more common condition. Color filling and flow-spectrum are not observed in the lumen in the color and spectral examination of the penile dorsal vein. Low-speed, high-resistance flow pattern is observed in the cavernous arteries. This finding of color Doppler US is absent in sclerosing lymphangitis. In the acute stage, sexual activity should be restricted in addition to the use of anti-coagulant agents. Creams containing heparin and anti-inflammatory drugs are used in the subacute and chronic stages.

JPMA - Journal Of Pakistan Medical Association

During these stages, the patient should be advised to restrict his sexual activity until the symptoms due to infection if exists, and severe pain disappear. No permanent sequel has been defined in long-term. Thrombectomy and resection of the superficial penile vein are applied surgically in the patients refractory to the medical treatment.

Symptomatic patients without flow in the color Doppler US after the sixth week should be considered as refractory to the medical treatment. Option of surgical treatment should be offered.

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Early and accurate diagnosis increases efficiency of the medical treatment and limits necessity of the surgical options. In this respect, a well performed physical examination and knowing findings of color Doppler US exam is of great importance in early diagnosis and treatment. Thus accurate and rapid diagnosis and treatment is of great importance. Competing interests. National Center for Biotechnology Information , U. Journal List Basic Clin Androl v. Basic Clin Androl. Published online Mar 3. Author information Article notes Copyright and License information Disclaimer.

Corresponding author. Received Nov 16; Accepted Feb 3. This article is published under license to BioMed Central Ltd.

This article has been cited by other articles in PMC. Materials and methods Literature search was made through a search in the MedLine database using PubMed and Scopus for the articles which were written in English language and published between July and June Etiology and pathogenesis Penile venous system; Venous drainage of the penis begins at the base of the glans; a series of venous canals merge to form the dorsal vein of the penis, which in turn runs along a groove between the corpora and drains into the preprosthatic venous plexus.

Open in a separate window. Figure 1. The palpable thrombotic superficial vein of the penis.


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Laboratory investigations There are no typical changes in the serum. Pathology In pathological examination, the most important differential diagnosis is sclerosing lymphangitis of the penis. Color Doppler ultrasound examination Color Doppler ultrasound examination plays important role in differential diagnosis of two conditions of the penis: Pelvic MRI Cases diagnosed with magnetic resonance angiography have been reported in the literature [ 12 ].

Medical treatment In the acute stage, sexual activity should be restricted in addition to the use of anti-coagulant agents.

Traumatic Penile Pain: A Case of Dorsal Vein Thrombophlebitis after Intercourse

Surgical treatment Thrombectomy and resection of the superficial penile vein are applied surgically in the patients refractory to the medical treatment. Footnotes Competing interests The authors declare that he have no competing interests.

References 1. Niechajev I. Aesthetic Plast Surg. Traumatic thrombophlebitis of the superficial dorsal vein of the penis: Am J Emerg Med.