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Man’s painful penile pain turns out to be a rare side effect of COVID

A man's painful penile pain was blamed for COVID infection when doctors warned of the rare side effect.

In a medical journal, the Iranian team described how the virus led to blood clots in the poor man's shaft.

The unnamed man had suffered penile pain for three days before being seen by a urologist in Iran, who referred him for testing.

The discomfort began after an erection while he was having sex, the 41-year-old married man told doctors.

He had not experienced any trauma in his pelvic area that could explain his symptom.

But he had a positive COVID PCR test three weeks before, wrote radiologist Seyed Morteza Bagheri and a colleague from Iran University of Medical Sciences in the journal Clinical Case Reports.

Nothing was out of the ordinary with his COVID disease. doctors noted.

He had mild symptoms including fever, cough and fatigue and did not need to take any medication.

Tests at the hospital showed the man had "thrombosis of deep dorsal penile veins" - blood clots in a vein running along the top of the shaft.

The vein runs the entire length of the penis and is involved in the supply of oxygenated blood to the organ.

An ultrasound showed "no [blood] flow in the vein "due to a blood clot about halfway along the penis.

Immediately, doctors began giving rivaroxaban, a blood-thinning drug used to treat and prevent blood clots.

"Two months after starting treatment, the patient's symptoms had completely disappeared and he had no penile pain during erection and sexual disorders anymore," the doctors wrote.

Everything worked "down there", wrote Mr Morteza Bagheri.

However, the man still experienced some pain under pressure at the site where the blood clotted.

Doctors had to drain blood from the penis using a needle because ice packs did not work to bring the stiffness down.
Doctors had to drain blood from the penis using a needle because ice packs did not work to bring the stiffness down.

Captured blood

Researchers have learned from the pandemic that coronavirus does not only cause respiratory symptoms.

One of its other functions is to increase the tendency of the blood to clot. In fact, this is often the cause of death.

"Approximately 20 percent - 50 percent of hospitalized patients with COVID-19 infection have abnormal coagulation tests," wrote Mr. Morteza Bagheri.

But he said the type of blood clots this patient had was very rare. When it occurs, it is normal in a person who has a blood clotting disorder.

It can become life-threatening if the blood clot breaks off and travels to the lung, causing pulmonary embolism.

"A search of the literature showed no previously published similar cases of deep dorsal penile venous thrombosis following COVID-19 infection, and our patient is the first reported case," said Mr Morteza Bagheri.

Thrombosis of another vein, the superficial dorsal penile vein, has previously been reported in men with COVID.

And a lot of other complications in the male genitals have been reported by doctors during the pandemic.

A 69-year-old man in Ohio got a three-hour erection - a condition called priapism - due to problems with blood clots in his penis.

Doctors reported in The American Journal of American Medicine that they believed COVID had caused blood clots to form in his penis and trapped blood in the erection chambers.

Doctors had to drain blood from the penis using a needle because ice packs did not work to bring the stiffness down.

He sadly died of COVID due to the failure of his lungs.

Another man in his 60s in France had to undergo the same procedure after COVID left him with a four-hour erection.

In this case, the doctors concluded that the man's priapism had been triggered by COVID. He survived and had not suffered any priapism since his discharge.

Meanwhile, experts have found evidence that COVID can damage the blood vessels of the penis, making it harder to get an erection.

A man in his 30s revealed that he had struggled to get an erection after infection and as a result, his penis had shrunk.

This story originally appeared on The Sun and was reproduced here with permission.


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