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Urology (Expert Forum)
Vague Penile Pain
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.
Vague Penile Pain
by Royaltee, Apr 15, 2007 12:00AM
Dear Dr. I have had vague penile pain for like three weeks now. the condition is ambiguous. It is not a skin condition nor a urethral thing. I have no burning urination and i took two antibiotic courses already (ofloxacin and Azithromycin and i don't think it is urethritis is in the picture). The pain is in the penile tissue and wafts from one side of the penis to the other to its dorsal side. It is irrelevent to erection. I get the pain in unerect state and does not increase with intensity with erection. It does not respond to painkillers like NSAIDs or Paracetamol. it is mild to moderate (tolerable). I sometimes feel i can trace it along penile arterioles (not veins but deep throbbing arterioles).
I take ginsing and ginko biloba to improve circulation and erection. Can't judge any efficacy. The pain is just around most of the time and keeps on fleeting.
Note worthy that the penis is not curved in anyway and no lumps do exist. I got these pains like a year ago but they disappeared one week later. this time it is persistent.
The thing is that i do get a lot of psychosomatic symptoms (muscle aches and spastic colon). I am very vulnerable to that because of my anxiety and i am receiving therapy. I just want to know whether there is any condition that could generate such penile aches and if there is any herb or supplements that could help. I just want to exclude physiological causes and drop the issue.
I take ginsing and ginko biloba to improve circulation and erection. Can't judge any efficacy. The pain is just around most of the time and keeps on fleeting.
Note worthy that the penis is not curved in anyway and no lumps do exist. I got these pains like a year ago but they disappeared one week later. this time it is persistent.
The thing is that i do get a lot of psychosomatic symptoms (muscle aches and spastic colon). I am very vulnerable to that because of my anxiety and i am receiving therapy. I just want to know whether there is any condition that could generate such penile aches and if there is any herb or supplements that could help. I just want to exclude physiological causes and drop the issue.
Doctor's Answer
by Kevin Pho, MD, Apr 16, 2007 12:00AM
, Apr 16, 2007 12:00AM
Testing and treating for infection should be done. A urine test to evaluate for gonorrhea, chlamdia or other bacterial urethritis infections should be considered. A rectal exam and/or an ultrasound to look at the prostate can be done as well.
If infection has been ruled out, or appropriately treated, then a cystoscopy can be done to look for anatomic abnormalities like a urethral stricture or polyp.
An ultrasound of the penis itself can be considered to evaluate for vein thrombosis or any masses.
These options can be discussed with your personal urologist.
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_
If infection has been ruled out, or appropriately treated, then a cystoscopy can be done to look for anatomic abnormalities like a urethral stricture or polyp.
An ultrasound of the penis itself can be considered to evaluate for vein thrombosis or any masses.
These options can be discussed with your personal urologist.
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_
