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What Might Cause A Cord Like Feeling On The Dorsal Vein Area Of His Penis, From The Pubis Bone Area To Mid Shaft?

Posted on Fri, 25 Sep 2020

Question: My Significant other brought to my attention that he as a cord like feeling on dorsal vein area of his penis started about six months ago, all of sudden, no pain, felt when flaccid and shortens his erections. on losartan and aleve 2 tabs daily. no edema, no erythema. Any ideas? from pubis bone area to mid shaft

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Infectious cause should be looked for

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on your description, urethritis is a possibility. An infectious cause should be looked for. Urinalysis and culture sensitivity testing of the urine can be advised in this regard, in consultation with your doctor.

Let me know if you have any query

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

That's one of my thoughts but he has not had any pain or discharge. No urgency. Can he have urethritis without these symptoms? An for this long. He thought peyronie's but there's no curvature and i would expect it to be slower progression. Its started around the start of losartan 100mg which is to be good for sex drive. I am a CRNP, i have seen pyronies once and dorsal vein phlebitis once, but i have not seen this. I think the losartan is coincidental.

Answered by Dr. Dr. Muhammad Sareer Khalil (11 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

There is no clear evidence to suggest that losartan is good for sex drive or ED.

Local examination for the thickening or cord like feeling is necessary if there is no infectious cause.
If the ED persists and there is no obvious cause such as atherosclerosis or Diabetes (leading to peripheral neuropathy) then a doppler ultrasound of the pens may also be advised in consultation with a urologist.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Nagamani Ng