How to diagnose and treat penile varicose veins?

Penile venous channels are the only system consisting of deep, intermediate and surface structures which are responsible for the blood drainage and normal functioning of the organ. A high venous activity and  erection of the penis occur due to anatomical characteristics of this part of a man’s body and specific blood circulation. Vascular disorders, affecting the velocity of  blood filling and drainage from the penis, can cause erectile dysfunction and further complications requiring surgical interference.

Penile disorders may relate to anatomical and physiological dysfunction of the arteries and veins. Arterial involvement often occurs due to concomitant diseases and venous drainage anomalies and penile varicose veins are frequently associated with high functional loads and venous hyperemia.

In a healthy man superficial penile veins are clearly visible in an erectile state during a sexual arousal. Their diameter is not more than 4 mm, they are elastic without varicose nodes and when touched a man does not experience any pain or discomfort. Nevertheless, specialists warn that there is a number of symptoms which may be the first warning signs of the penile varicose veins.


  • At the first stages of the disease, a man may observe the swollen veins on his penis and firm subcutaneous dark blue nodules. Typically, these nodules are only in an erectile state but later they become visible without erection.
  • It is also a warning sign when there is a sensation that the veins lost their elasticity and became firm to the touch. When touching them during a sexual intercourse, pain, pins and needles and discomfort appear.
  • If the disease is neglected, a penis becomes aesthetically unattractive: the skin becomes purple, the veins are swollen and raised above the skin surface and have numerous nodules.

Causes of penile varicose veins

In some cases, penile varicose veins may occur due to anatomical characteristics, age-related changes of the vessel wall and blood diseases. Extensive stretching of the bladder which is accompanied by a venous bed compression also disturbs the blood drainage. Traumas, edema, surgical interference in the pelvic area, past sexually transmitted diseases are all the risk factors. However, the most common reason is a functional overpressure of the venous system.

This condition occurs when a man masturbates compulsively several times a day for a long time. This habit may lead to venous hyperemia in the pelvic area and in the penile venous system. Oriental sexual methods practicing a long sexual intercourse without ejaculation can also be dangerous. In this case, reflex vascular response is disturbed as well as drainage functions.

The desire to please and satisfy a woman and to postpone ejaculations makes the man to use special gels and condoms with anesthetic effect, sex toys and special tricks that prolong the erection. These experiments make the man lose not only his common sense but health as well because the venous system is in constant tension beyond all the norms. Regular functional loads of such intensity is very harmful to the venous bed and leads to inflammations and varicose veins.

It should be noted that regular sexual life without any extreme loads on the vessels is one of the perfect ways to keep penile circulatory system in tone.

Diagnosis and treatment

Unfortunately, men go to a doctor about the penile varicose veins only when they have pain or they are worried about its appearance. Sometimes they try to cure the disorder themselves with natural remedies or the medications indicated for peripheral vascular disease. Often this leads to disastrous results when surgical interference is required to prevent such complications as trophic ulcers and thrombosis.

Besides, a man experiences great psychological discomfort as the disease makes his penis look unattractive. It becomes an obstacle to a proper sexual life, a man feels unworthy and erectile dysfunction occurs.

It is necessary to seek medical assistance with the first signs of the disease. A man can have a consultation with a urologist but it is better to go to a phlebologist, a doctor  who specializes on diagnosis and treatment of the vein diseases. A specialist will recommend a proper examination, choose a treatment which is aimed at removing penile varicose veins and preventing further development of the disease.

A doctor will examine a man and arrange for appropriate tests to exclude the influence of factors related to accompanying diseases. Advanced methods of diagnostics enable to detect not only the degree of penile vascular system disorder but to assess the vascular tone, their elasticity and to define the level of the damage even at the early stages and measure blood flow velocity. A complex of diagnostic maneuvers helps to obtain a precise clinical presentation and to choose proper treatment.

At the early stages of the disease conservative treatment methods are also effective. Usually it is recommended to abstain temporarily from sexual contacts and to take anti-inflammatory and  vasoactive medications. A doctor may also indicate herbal ointments and anticoagulants for a topical use.

If a patient experiences pain and discomfort, analgesics in tablets or injections are indicated as well as topical anti-inflammatory medications. At the later stages of the disease which are accompanied by the complications, a phlebologist may recommend thrombectomy or ligation with the removal of the veins having dangerous pathological changes. Provided that a patient follows all the rules and recommendation, the period of rehabilitation after the surgery is about two weeks.

After a while, a man will be able to return to an active sexual life, however the doctors recommend to eliminate the risk factors to avoid repeated treatment.

Prevention and a timely visit to a doctor will allow to avoid unpleasant consequences and advanced methods of diagnostics and therapy will help to stop further development of the disease and to maintain sexual health.