Article Text

Download PDFPDF

Diffuse swelling of the penis in a young adult
  1. N Sarath Krishna,
  2. E S Glen
  1. Department of Urology, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, Scotland, UK
  1. Mr Sarath Krishna Nalagatla (e-mail: sarath{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 25 year old man presented to our hospital with a seven day history of pain in the root of the penis and two day history of swelling of the penis. On questioning there was no history of prolonged intercourse, local trauma, insect bite, or infection. He had no relevant past medical history. General physical and abdominal examination were unremarkable. On local examination the penis was diffusely swollendue to oedema. A long, thick, firm, and cord like structure was felt along the dorsal aspect of the penis. It was not tender. There was no evidence of venous thrombosis elsewhere. Urine microscopy, full blood count, and coagulation studies were all within normal limits. Colour Doppler ultrasonography of the penis showed a prominent superficial dorsal vein of penis with no evidence of spontaneous flow. A clinical photograph of penis and Doppler ultrasound scan of the penis are shown in figs 1 and 2respectively.

Figure 1

Photograph of swollen penis (reproduced with the patient's permission).

Figure 2

Doppler ultrasound scan.


What is the probable diagnosis?
What is the aetiology and pathology of this condition?
How can this condition be managed?