Dark and tough vein near head of penis with slight pain and increase in urination.

[nte3346]

Hello I am a 23 year old male and I recently noticed where the shaft meets the head of my penis there is a very dark vein (near black looking) and not every day but I’ll get a painful sensation around that area when urinating and when not. Accompanying this is an huge increase in the urge to urinate. I could really use some help, it’s uncomfortable and bothersome at work.

[GuitarRox]

First things first, the pain in your shaft when you are urinating.  That can be a sign of a lower tact urinary tract infection.  https://www.healthline.com/health/pain-in-middle-of-shaft.  You're gonna need to pee in a cup so they can check for bacteria in the urine.  But then you have this vein also.  We can get a little clot in the vein there and that also can cause some pain in the shaft.  Penile clots also cause both pain in the shaft and a bulging vein.  This sound about like what is going on?  Clots in the penis usually happen in the dorsal vein which is on top?  this where it's at? Thing is, you'd probably have pain when you get an erection too.  Either way, I do think you need to see your doctor since you have not just a vein but pain.  Docs are doing work over the phone and virtually a lot lately so give yours a call.  If you don't have a regular doc, then urgent care.  That sound like a plan?

[nte3346]

The vein is actually on the underside and now that I looked at it the veins on the underside aren’t super dark like the one near the head but are all bulging all the time. But besides that one very particular spot where that one super dark vein is (which is way thinner compared to the rest) there isn’t pain. Just that one spot. Does that help?

[nte3346]

Okay let me phrase it to make it more clear. It’s on the side where the urethra runs and it’s two regular colored bulging veins that run all the way to the testies. Then where the shirt meets the head in the same side there’s the thin super dark one where the pain is coming from. And it already hurts less today if that helps at all. Thank you for your time

[Emily_MHManager]

There are a number of things that it can be -

https://www.healthline.com/health/lymphangiosclerosis

https://www.healthline.com/health/mens-health/veiny-penis

The fact that you have pain is concerning. That's always a sign that you need medical attention. There are different causes of bulging veins - some that cause pain, some that don't, but any time you have pain, it's a sign that something is wrong, and new pain should always be checked out. You could have a condition that causes the bulging veins AND an infection.

I don't know your reasons for not going to the doctor, but if you're concerned about finances or lack of insurance, talk to them about self-pay, or call your health department and ask what services they have for people in your financial situation. You really do need medical attention.

Let us know what's going on.

[nte3346]

Hey sorry for the late response, bit hectic lately. But I went to urgent care and they said I have Mondor’s disease which is typically on the top of the shaft but can happen on the bottom part too. They told me to take the painkiller of my choice and use a damp warm towel on that region to ease the pain and that it almost always goes away on its own so we just have a check in in like 3 weeks

[auntiejessi]

Interesting! I'm glad you went, and I hadn't heard of this before, so I learned something, too.

It is self-limiting - meaning it will go away on it's own, and it may not be as rare as they thought - https://www.emra.org/emresident/article/penile-mondor-disease/

Thanks for letting us know, and I hope you feel better soon.