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Warning-sign checks

Fibrous cavernositis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Go to an emergency department if:

    • An erect penis bends suddenly with a pop or cracking sensation, followed by rapid loss of the erection, swelling, or bruising
    • An erection lasts four hours or longer
    • Swelling increases rapidly, pain is severe, or penile tissue darkens after an injury or procedure
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    After an injection or procedure, seek prompt medical advice for worsening redness, warmth, discharge, fever, difficulty urinating, or severe pain.

    This differs from gradual scarring and requires urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you notice a new penile lump, curve, indentation, shortening, or painful erections.

    Seek assessment if the shape is worsening, sex has become difficult, or you have problems getting or keeping an erection.

The article also says

A sudden injury may be a penile fracture—a tear in the strong covering of the erection chambers.

Every sign above is quoted from the sofidex article on Fibrous cavernositis. If you are not sure, err upward — it is always reasonable to be checked.