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Urology (Expert Forum)
Penile Pain
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Penile Pain
by zbyrnes, Jan 23, 2007 12:00AM
My husband is 60 years old. He has had prostatitis for more than 10 years and was given antibiotics on several occasions. He had prostate cancer two years ago and recovered from surgery with little incontinence but still has challenges with sexual hardness.
His PSA's are low but the pain in his penis has returned and can me consistently moderate to severe in intensity. His current internist has called it "referred" pain and the only thing that seems to help are hot baths twice a day. This pain can go on for unlimited months.
Do we need to get another (we've had three) diagnosis?
If it is in fact "referred pain" what can trigger it and how can he manage it Thank You, Zo Byrnes
His PSA's are low but the pain in his penis has returned and can me consistently moderate to severe in intensity. His current internist has called it "referred" pain and the only thing that seems to help are hot baths twice a day. This pain can go on for unlimited months.
Do we need to get another (we've had three) diagnosis?
If it is in fact "referred pain" what can trigger it and how can he manage it Thank You, Zo Byrnes
Doctor's Answer
by Kevin Pho, MD, Jan 24, 2007 12:00AM
, Jan 24, 2007 12:00AM
Chronic prostatitis can lead to the symptoms you describe. A prostatic massage with subsequent analysis of the prostatic fluid can be considered. Further evaluation can be done with a transrectal ultrasound to evaluate for any prostatic abscesses.
You can also consider a cystoscopy to evaluate for lower GU disorders that can lead to pain.
If the tests continue to be negative, and long-term antibiotic therapy has not been helping, you can consider other options like transurethral microwave therapy.
These options can be discussed with your 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_
You can also consider a cystoscopy to evaluate for lower GU disorders that can lead to pain.
If the tests continue to be negative, and long-term antibiotic therapy has not been helping, you can consider other options like transurethral microwave therapy.
These options can be discussed with your 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_
Member Comments
by Stevenneedhelp, Jan 27, 2007 12:00AM
To: Misc. (Urology)
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