IAMA 39 y.o. guy recovering from emergency penis surgery last night. My injury occurred during vigorous sex with my wife. AMA and yes, prepare for TMI.
OK so last Saturday morning my wife and I were having intercourse and getting right into it. As happens sometimes, my penis slipped out and whanged into my wife's pelvis fairly hard. Normally this kind of thing is nothing more than a distraction but this time the pain was intense, to the point where I started to go into mild shock.
We called an end to proceedings straight away and when I could move (couple of minutes later) I went and jumped in the shower which helped the pain to subside. I checked for damage and couldn't see anything so I didn't think much more about it.
A couple of days pass and I'm getting pretty toey so I try a bit of solo sex. My erection hurts quite a bit but I persist, Getting close to orgasm I feel a distinct 'pop' and it starts to deflate. The next day I notice some pretty impressive bruising on the underside of the upper shaft and knob.
So, being a typical male, I kind of hope this'll get better and go away by itself. My wife is pretty worried and pressing me to see a doctor. I tell her that if it doesn't get better in a day or two I will.
So cut to Friday morning, I wake up with "morning wood" while spooning my wife. She presses back gently and I feel the pop again and some pain, although milder than the original injury. OK I say, time for me to go to the doctor today.
I book in for a 1:40 pm appointment with my GP and explain the situation. He hasn't come across it before so he calls the duty urologist. Sitting there listening to one side of the conversation I hear my GP repeat back the words "surgery", "emergency" and "immediate" and I feel my heart sink.
I must admit I was somewhat prepared for that news. I'd been doing some reading up and had come across the term penile fracture but I'd mostly discounted this possibility due to the fact that I could still obtain erections, albeit painfully.
So my GP hangs up and tells me the bad news. He refers me to the local emergency department for a more thorough diagnosis. When I get to emergency they whisk me through the queue to the 'fast track' area and straight into the ward.
The duty GP sends me for an ultrasound. The ultrasound tech is a great guy and we have a bit of a laugh about my situation. He said that he's done plenty of testicular ultrasounds but never a penis. So far today I've had three guys touch my junk; an all time personal record.
My situation is so unusual that I have a stream of visitors: the head of the imaging department, the ER GP, the ER registrar (very cute Chinese lady) and the consulting urologist. The ultrasound imaging took a good hour as they were unable to decide whether there was a tear in my tunica albuginea or not.
Covered in ultrasound goo -at least they keep it warm - I go back to the cubicle. I wait a couple of hours and the urologist comes to see me. Long story short, they suspect a tear but they aren't positive. My options are to let it go and accept the risk of complications (10-50% risk of impotence, pain or deformity) or to let them do a surgical exploration and repair if needed. If I wanted the surgery he would book me in immediately.
I kind of thought it over for a few seconds but I knew the surgery was inevitable so I said yes, book me in. He had me discharged from the ER and I then walked to a nearby private hospital where the surgery would take place in 30 minutes.
When I arrived the staff already knew all about me. This injury is kind of a big deal apparently. I filled out the myriad of forms, met the anaesthetist and got into my surgical gown. I was fairly shitting bricks at this point - emergency surgery wasn't on my agenda for today and I was frightened of the general anaesthesia as I'd never had it before.
I'm wheeled, bed and all, to the operating theatre. A line is installed and anaesthetic is administered. Next thing I know I'm waking up in recovery 90 minutes later, no issues at all, no pain, disorientation or nausea. Great!
Apparently I had a 1.5cm longitudinal tear in the tunica albuginea. The blood had leaked into the corpus spongiosum. Which is why my dick hadn't swollen to the size of an eggplant after the first injury and why it was hard to diagnose.
I went back to the urology ward around 11:30 PM, slept pretty well and was discharged about 11AM today (3 hours ago). No pain to speak of, the greatest discomfort is in my throat from the tube they stuck down there during the surgery. My dick is wrapped in a bandage that just leaves the tip exposed for pissing. The tip is pretty bruised as you can imagine.
I've only pissed once since and that does hurt like hell due to the catheter line the surgeon had to cut into my urethra as the blood clot complicated the urethra. I'm taking 5mg oxycodone hydrochloride 6 hourly for pain which seems sufficient.
Restrictions are no vigorous exercise for two weeks and no sex for six to eight weeks. Damn. But I know I'm going to be careful as hell when we do get back into it...
tl;dr If you whang your hard-on really badly and hear/feel a pop, get to a doctor immediately. It's a medical emergency!
EDIT 1: Just a shout out to everyone for their kind thoughts. I really appreciate all the well wishes! And the funny/trolling comments, keep them coming too. I kinda see the funny side of this, it helps distract me from the hurtiness. Just popped two more oxy...
EDIT 2: OK folks, it's midnight here so I'm off to bed. I'll check in again tomorrow for new questions. Thanks for the interest and may you all have injury-free sex!