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Urology (Expert Forum)
Penis 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.
Penis Pain
by CMS87, Feb 03, 2007 12:00AM
Pain started 1 month ago after a couple days of vigourous sex (with monogomous partner) and masturbation. Pain is mostly on top of shaft in the crevice where the bottom of the glans meets the body of the shaft. After pain started, a small lump under the skin developed and is still there in the crevice. Penis is also much more purple than it was before, and vein on right side of penis near base has gotten much larger. Also lost alot of penile girth in the semi-erect state.
Been to several dr's over the past month, and they say the purple color is not unusual. They have all said that the bump does not look like Peyronie's, but cannot tell for sure what the problem is, and I'm skeptical. Meanwhile, pain is excruciating when the glans and top half of the shaft rubs against clothing. Shooting pain also occurs without clothing. Presently on 3rd day of methylprednisolone 6-day pack with no improvement so far. Also taking Elavil for pain, with little effect.
Already had a cat scan of the abdomen and pelvis, which showed nothing. Wuold an ultrasound help? Any other thoughts or suggestions?
Been to several dr's over the past month, and they say the purple color is not unusual. They have all said that the bump does not look like Peyronie's, but cannot tell for sure what the problem is, and I'm skeptical. Meanwhile, pain is excruciating when the glans and top half of the shaft rubs against clothing. Shooting pain also occurs without clothing. Presently on 3rd day of methylprednisolone 6-day pack with no improvement so far. Also taking Elavil for pain, with little effect.
Already had a cat scan of the abdomen and pelvis, which showed nothing. Wuold an ultrasound help? Any other thoughts or suggestions?
Doctor's Answer
by Kevin Pho, MD, Feb 05, 2007 12:00AM
, Feb 05, 2007 12:00AM
I would indeed consider an ultrasound of the penis to rule out thrombosis or a blood clot.
Culturing with a urethral swab, or sending off any urine or penile discharge to the lab can be considered to see if there are any resistant bacteria.
If the pain continues, I would consider a rectal exam to palpate the prostate. It can be massaged and subsequent prostatic fluid can be sent for analysis and culture. A transrectal ultrasound can be considered if a prostatic abscess is suspected.
These options can be discussed with a 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_
Culturing with a urethral swab, or sending off any urine or penile discharge to the lab can be considered to see if there are any resistant bacteria.
If the pain continues, I would consider a rectal exam to palpate the prostate. It can be massaged and subsequent prostatic fluid can be sent for analysis and culture. A transrectal ultrasound can be considered if a prostatic abscess is suspected.
These options can be discussed with a 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 (2)
by CMS87, Feb 03, 2007 12:00AM
To: Peyronie's Disease
0
by symphony100, Mar 03, 2009 10:25PM
A related discussion, Pain due to peyronies was started.
