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Welts. A welt is a raised, usually red area of the skin. Welts are most common with whipping and flogging: a thin object, hitting
fairly hard, is most likely to raise a welt. Sometimes bruising accompanies a welt. To reduce swelling, you may wish to use a cool or
cold compress or a cool water bath.
Phlebitis, a.k.a. Thrombosed Surface Veins.
Occasionally, a surface vein in the penis or scrotum will sustain some damage and become hard and painful due to clotted blood
within the surface vein. Some swelling of the penis may accompany this. It may take weeks or even months for things to get back to
normal. During this time, warm compresses or baths and aspirin or ibuprofen can be helpful to reduce the swelling and clotting. If
the phlebitis is persistent or gets worse, see a doctor.
Edema.
Edema is swelling of a body part because of injury. If any body part suffers from constricted circulation for a prolonged period,
tissue damage may occur. This injury is most common when using something that is very tight around the cock or scrotum: a cock
ring, cock harness, ball stretcher, cock and ball bondage. It can be hard to tell if edema is happening in a cock and ball play scene
because, well, things do get swollen when men are aroused. A good rule of thumb is to' remove any cock or ball bindings every half
an hour or so and allow a few minutes to re-establish normal circulation. For this reason, it's not a good idea to leave anything that is
binding or tight around the cock and/or balls on overnight. If edema is a constant problem and unrelated to play, or if the swelling
doesn't subside within a few hours, see a doctor. [Also see "Removing A Stuck Cock Ring," page 31.]
Twisting and Bending Play Risks
Twisting or bending the cock and/or balls can be very potent! In general, twisting tends to apply to the balls, and bending tends to
apply to the penis. Bear in mind that a hard cock is much easier to damage than a soft one, and that the spongy bodies that allow
erection extend into the abdomen, so bending the cock counts even if you're bending it where it meets the body. The same is true
with twisting the balls. Remember, all this stuff is attached, and we want it to stay that way! This kind of play is really ripe with
sensation - a little goes a long way.
Skin stretching or tearing.
Sometimes, energetic or intense play means that skin gets stretched or slightly torn. This is particularly common with foreskins and
scrotums, where there is loose skin. If the injury is minor, letting it heal on its own is usually fine. A cold compress can help reduce
swelling, and aspirin or ibuprofen will help with pain and inflammation. More significant injuries should be seen by a doctor
immediately, particularly since any activity vigorous enough to cause skin tearing might damage things other than just skin.
Also, be aware that stretched skin is much easier to puncture than non-stretched skin. If you are playing with skin that is stretched,
for instance by a ball stretcher or other device, be extra careful, as the skin will be far ~ore delicate than it would be under other
circumstances.
Torsion.
Torsion, or twisting, happens to the spermatic cords, bundles of nerves, ducts (including the vas deferens) and blood vessels that link
the testicles to the body. Torsion can happen as a result of sex play, but it can also happen during exercise or just at random.
Symptoms of torsion are severe pain and swelling in the scrotum, usually along with nausea or vomiting. A twisted spermatic cord
cuts off the blood supply to the testicle, and if the cord is not untwisted in time, the man may lose his testicle. If you suspect this has
happened, seek medical advice immediately. Doctors have seen this before. Remember to be frank with your doctor. This condition
is sometimes misdiagnosed as epididymitis, an infection which causes a similar swelling. Antibiotics prescribed for epididymitis will
not help torsion.
Torsion can also happen due to accidents with cock and ball bondage. A friend of mine fell prey to this malady from falling asleep in
a very tight ball stretcher. During his sleep, one testicle became twisted.
The minor surgery needed to correct this was not very painful, but the added medical expense and the weeks of abstinence while
recovering were not worth it.
Rupture of the Corpus Cavernosa.
This is what's known as a penis fracture or "broken dick," and happens when the Tunica Albuginea, the tough membrane
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