STD? Lymphangitis? Or Peyronies?

[Helpgoingbonkers]

Hello, I have had 1 regular sexual partner for quite some time. About 2 weeks ago, after very very vigorous masturbation, I had to stop as it was getting too sore. A few days later I noticed what I can only call a "ring" encircling my penis in the middle of the shaft under the skin (doesn't move with veins freely, but seems semi-soft (its not hard to the touch). It is very thin, perhaps as if you were to put a thin headphone cord around my penis. It is painless and without inflammation or tenderness.

It looks exactly like pictures of "Scelerosing Lymphangitis", but it is on the middle of the shaft (not next to the head) and it separates into two vessels around the back.

It is painless and I have normal erections. It can be seen mostly when going from erect to flaccid, but not seen when totally flaccid. (if I ice it for example, it goes down). When erect it is slightly visible, but somewhat obscured by other tissue from the erection.

My concerns are two.

A) Is there any chance this is sexually transmissible? It doesn't seem like an STD, but perhaps some sort of other infection might spread?

B) Also, an almost more important concern, is does this sound like Peyronies disease to you? I know normally there is pain and penile curvature, but does Peyronies ever present with a visible protruding "vein-like" structure around the circumerfence with no other symptoms?

This has me worried sick. I obviously won't be masturbating this hard.

[Edward W Hook, MD]

Welcome to the Forum. I'll try to help. what you describe does not suggest either Peyronie's disease or sclerosing lymphangitis of the penis, both of which are chronic conditions that appear gradually and progress, not rather abruptly in the way that you describe.  further, this does not suggest an infection of any sort either - STD or otherwise. The timing of the abnormality that you describe, as well as the fact that it is better with icing suggest that this is an acute injury, perhaps related to your vigorous masturbation.  I suspect that the passage of time is the best way for this to get better.  My advice would be to try to not irritate the area further and I would anticipate that it will resolve or at least substantially improve over the next week or so.  EWH

[Helpgoingbonkers]

Does early Peyronies ever manifest this way though? As a soft-ish yet firm string under the skin, running around the circumference of the penis, without pain or erection deformity?

Or is there always some sort of pain and curvature?

[Edward W Hook, MD]

Peyronies is a rather rare condition and I must say, I am not an expert.  I doubt very much that this is early Peyronies as I mentioned.  If you really want to do otherwise, I would suggest a urologist but I would not pursue this further unless it fails to improve.  EWH