I've found little useful information to date on the net hopefully this post can help others out in that respect
Varicose Veins of the Penis - (My) Overview and Chronology
- 26 y/o - Male
- Large varicose veins across penis,
o Superficial dorsal penile vein - large engorged vein
o Left side penile vein - small engorged veins (increasing in size quickly, tributary of superficial dorsal)
o Right side penile vein - large engorged vein (similar in size to dorsal vein, may be linked to dorsal at base of penis)
o End of foreskin - ‘tangled’ veins
- Vein related lump/coiling of vein half way along penis shaft on right hand side. Lump/coiling appears to move deeper into penis. Lump/coiling is present when flaccid (can be felt) and when erect (pronounced bulge that is painful to touch/contact).
- Suspected varicose veins in scrotum (burning sensation), though a secondary concern.
- Varicose veins present in right and left legs, treatment in progress (see history).
- Sitting - burning, stinging discomfort
- Standing - as above
- Walking - less so
- Intense exercise - strictly avoided since occurrence of penile varicose veins
- Lying down - ok, but often sore from standing up burning, stinging discomfort
- Intercourse - 'strained' (distracted by the 'veins')
- Quality of Life - pain and discomfort is damaging quality of life
- Work - reduced work performance (can’t concentrate)
2006-01 Long saphenous vein (left leg) surgically removed
Due to varicose veins (attributed to excessive standing in teens-early 20’s (retail). No known history of varicose veins.
2006-01 Post surgery, mild inflammation of superficial dorsal penile vein
Abated within 1-2 weeks of surgery.
2008-07 Further varicose veins in lower limbs apparent
‘Tell tale’ pain factors in groin and back of knees. Accelerated appearance of distended/engorged veins in feet (right foot especially).
2008-11 Engorgement of penile veins becomes pronounced
2008-11 Visit new Vascular Surgeon
Advises to avoid surgical intervention at penis and legs at this point as the penis condition may/may not abate.
Full leg and abdominal ultrasound performed which did not locate the source of penile vein engorgement/reflux.
To remedy varicose veins of the lower legs/feet I’m referred to a private outpatient clinic.
2009-01 Private outpatient clinic
Quick ultrasound performed, results in-line with prior diagnosis.
Not impressed by outpatient service (cost, no fix for penis, long waiting list).
2009-01 Visit Vascular Surgeon
Another ultrasound which locates vein reflux into the superficial dorsal penile vein, probably from the external epigastric vein.
Doctor advises that options to resolve penile issues are limited, any surgical intervention can have downstream/unforseen impacts.
Recommends sclerotherapy injections for varicose veins in legs.
2009-02 Sclerotherapy injection – left leg
2009-03 Sclerotherapy injection – right leg
2009-04 Discover relieving properties of ‘ice packs’
Placed an ‘ice pack’ on groin when home from work (penile veins aggravated from sitting/standing at work).
Applying the ice pack alleviated the constant burning sensation that comes after a period of being vertical.
Appearance of the penis also returned to a familiar state as the cold temperature contracted the engorged veins, the penis looked 'normal'.
2009-04 Visit Urologist
Doctor had not encountered reflux into the penile veins such as mine before. Angus advised that there is no simple fix and surgical intervention to block or remove engorged veins is a high risk activity. Specifically the risk of blocking/obstructing the ‘deep veins of the penis’ which would lead to sexual dysfunction.
He suggested it would be possible to ‘tie off’ or remove one, maybe two of the engorged veins, but remove no more than that.
At current there are two main offending veins, the superficial dorsal vein on top and a vein on the right side of penis (may join superficial dorsal at base of penis). Other veins appear to be connected to these two veins (e.g. thin left side engorged vein). ‘Tying off’ the engorged veins is becoming an appealing option.
He advised he would investigate further by searching literature and conferring with other Urologists.
Waiting to hear back before taking further steps.
2009-04 Further use of ‘ice packs’
Regularly applying an ‘ice pack’ to penis (after work/weekends). Appears to ‘shrink’ engorged veins. Doing so provides temporary relief for the burning/stinging symptoms present in the penis (specifically the foreskin toward the tip of the penis).
2009-04 Suspected adverse effects of antibiotics
Prescribed a course of antibiotics (Terbinafine-DP) to treat a fungal infection of the toe nail. Fungal infection is due to continual wearing of socks/heavy footwear. After discussing possible (vascular) side effects with my GP, assured the antibiotics were safe to use.
Started taking the drug upon waking (am), that day experienced severe pain burning/stinging in the penis and left thigh (recent sclerotherapy leg) whilst at work (sitting in office).
Ceased taking the antibiotic for the time being.
2009-04 Research and Worsening Condition
Extensive research on the internet has yielded few directly relevant results.
Though appears it may be possible to insert a ‘coil’ to block (embolisation) either the superficial dorsal penile vein (at pelvis) or the external epigastric vein (as per 2009-01 ultrasound).
Condition is worsening with the beginnings of tortuous veins in the foreskin towards the end of the penis along with increased pain. Now engorgement/pain is still present whilst body is horizontal.
2009-04 Planned to visit Vascular Surgeon
A family friend has recommended and organised an appointment to see Dr within a week.
Planning to see Dr for another opinion, hopefully some action. Else will return to organise embolisation of the symptomatic vein(s).