Injury to Penis During Sex

Q. About three or four weeks ago while having sex, with me on top, my boyfriend’s penis slipped out and I came down on it, bending it with my weight. Of course he has been in pain since then. He still gets erections and has orgasms, but he complains of dull pain while having sex (unless we are moving slow and carefully). He compares it to the feeling of pulling a groin muscle. Do you know what has been damaged and what he should do about it? How long will it likely take to heal? Can there be long-term problems from this? How would he know?

A. Your boyfriend is not alone. This happens to many men. When the penis suffers a bend while erect, it often causes a tear in the tunica albuginea. This is the layer of collagen that surrounds the erectile tissue, called the corpus cavernosum. During an erection, the corpus cavernosum fills with blood. The tunica enables the erect penis to maintain its length and girth, rather like the side wall of a car tire filled with air enables it to hold its shape.

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