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Urology (Expert Forum)
Penis Pain below head
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Penis Pain below head
by fred H, Mar 08, 2006 12:00AM
I am 45 yrs old and I have pain on the underside of my penis below the head for three weeks now. It's unlikely to be an STD and feel it's perhaps nerve related or possibly some physical damage although there are no visible signs of swelling or redness. It feels sore alot of the time and a hot shower can make it feel worse. I've been in a relationship for awhile and it came on suddenly after having intercourse: just before I was about to ejaculate I pulled out because my girlfriend wouldn't/couldn't slow down and I was practicing tantra. This isn't the first time I've experienced soreness but it by far the worst. When I was 16 I had some discomfort after messing around with ejaculation which I did only a couple of times: Once by continuing intercourse after ejaculation and once by masturbating, stopping near ejaculation, then restarting. During the years there's been some very occasional, relatively mild discomfort.
Doctor's Answer
by Kevin Pho, MD, Mar 09, 2006 12:00AM
, Mar 09, 2006 12:00AM
Infection should be completely ruled out - including tests for STDs and urine tests looking for a UTI.
The prostate should also be carefully examined looking for prostatitis. A digital rectal exam as well as a transrectal ultrasound can evaluate for abscess or infection.
If infection is not the cause, anatomical issues like a urethral stricture or polyp can be considered. A cystoscopy is the most comprehensive test to evaluate this.
Metabolic disease like thyroid dysfunction, diabetes and B-12 deficiency can also be possible and tested for.
You can discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
The prostate should also be carefully examined looking for prostatitis. A digital rectal exam as well as a transrectal ultrasound can evaluate for abscess or infection.
If infection is not the cause, anatomical issues like a urethral stricture or polyp can be considered. A cystoscopy is the most comprehensive test to evaluate this.
Metabolic disease like thyroid dysfunction, diabetes and B-12 deficiency can also be possible and tested for.
You can discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments
by cdb35, Mar 14, 2006 12:00AM
To: Sexual Problem
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