Aa
Pain in penis
Male, 56, recently diagnosed with PCa (3+4, 10% of one of 14 cores). PSA highly variable with prostatis that seems to have responded to doxy. Mean PSA about 11. Currently considering treatment options when a new symptom emerged, and I want to know if it is related to the cancer, the recent course of antibiotics, or something else.
After a long cold winter hike (10 degrees F for about 2 hours) I noticed pain in my penis -- it seems to be in the ureter, although pain does not increase upon urination. Constant but not terrible discomfort.
How likely is this related to the PCa? How likely is it that the seminal vesicles were invaded -- and the cancer traveled into the penis (main worry)? How likely is it that, alternatively, this is a UTI, perhaps cultivated by the doxycycline -- not having killed it off it has grown back after the course of antibiotics? Or even an STI (married and monogamous)? Or even caused by the cold? Or something else?
If it is related to the PCa, should this affect my treatment choice (surgery v radiation)? (Can radiation be used on the ureter in the penis?)
Thanks
JonnyBeGood53
After a long cold winter hike (10 degrees F for about 2 hours) I noticed pain in my penis -- it seems to be in the ureter, although pain does not increase upon urination. Constant but not terrible discomfort.
How likely is this related to the PCa? How likely is it that the seminal vesicles were invaded -- and the cancer traveled into the penis (main worry)? How likely is it that, alternatively, this is a UTI, perhaps cultivated by the doxycycline -- not having killed it off it has grown back after the course of antibiotics? Or even an STI (married and monogamous)? Or even caused by the cold? Or something else?
If it is related to the PCa, should this affect my treatment choice (surgery v radiation)? (Can radiation be used on the ureter in the penis?)
Thanks
JonnyBeGood53
MEDICAL PROFESSIONAL
Your symptoms are NOT that of prostate cancer and as an isolated symptom (you do not mention any other symptoms) is quite unusual. I wonder if it is related to your prostate biopsy in some way as prostatic discomfort can be referred to the penis. I think that you should return to your urologist and allow that individual to examine you, possibly do another trans-rectal ultrasound. I do not see a relationship with the cold either. The fact that there is no discomfort with urinating and that it is, again, isolated, makes it unlikely that you have a urinary tract infection (including a prostatitis).
An STI never crossed my mind as a cause.
Perineal/pelvic pain can be due to anxiety and can be treated by appropriate medication. I know that the questions with which you are dealing do result in lots of anxiety in most men and this may well be the cause.
Your symptom should not influence your choice of therapy for your prostate cancer.
S.A.Liroff, M.D.
An STI never crossed my mind as a cause.
Perineal/pelvic pain can be due to anxiety and can be treated by appropriate medication. I know that the questions with which you are dealing do result in lots of anxiety in most men and this may well be the cause.
Your symptom should not influence your choice of therapy for your prostate cancer.
S.A.Liroff, M.D.
Thank you, this is very helpful. I have scheduled an appointment for later this week and my apprehension is much reduced.
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