PAIN AT UNDERSIDE OF HEAD OF PENIS

About 4 months ago while ejaculating, I experienced a intense burning/stinging throbing pain along the underside of the head of my penis.  This pain has persisted 24-7 at a mild level ever since.  It is slightly more intense during urination, and much more intense during any subsequent ejacultation. After ejaculation, the higher level of pain persists for several days before subsiding to a more mild persistent pain.  My Urologist has now ruled out STD's, urinary tract infection, stricture, prostatitis, and kidney stones - I've had blood work/PSA, etc., cystoscopy, IVP, a course of antibiotics & flowmax).  He now belives I have Peyronie's disease because he can feel what he believes to be a hardened area where I have this very localized pain.  Two questions?

Q1: I'm wondering how consistent my symotoms are with Peyronie's disease, given that I do not have any curvature problems, given that having an erection is not in and of itself painful, and given that the pain described above is with me at all times.

Q2:  My uologist said that there are no reliable treatments for this problem and that the best I can hope for is that it will resolve itself in 12-18 months. Given that orgasm is too painful to continue to experience, he recommends something like advil to ease the pain.

Thanks,

Clyde

[Kevin Pho, MD]

1) Peyronie's disease is a possibility.  Although in some cases there is curvature of the penis, this is not present in all cases.  Calcified plaque may be visualized with either plain films or an ultrasound.  

2) Non-surgical treatment should be considered within 6 months of diagnosis to prevent calcification.   Vitamin E supplementation and para-aminobenzoate tablets (B-complex substance) may be taken for several months. Chemical agents such as verapamil (calcium channel-blocker), collagenase (enzyme that breaks down connective tissue), and steroids (e.g., cortisone) may be injected into plaque or delivered by iontophoresis (a painless method of delivering medication to localized tissue using electrical current).

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.

Thanks,
Kevin, M.D.