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Urology (Expert Forum)
Penis discomfort
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 discomfort
by helpdon, Mar 30, 2006 12:00AM
Hi there,
I am 51 years old. I have been married for 18 years. I haven’t had any sexual relations outside of my marriage, and neither has my wife. She has had no symptoms of any kind.
For almost 3 years now I have been experiencing discomfort off and on with my penis and my scrotum. When it initially started, and for quite some time, it would cycle between a pleasurable feeling, and an uncomfortable feeling when I would sit down. Now, it is pretty much uncomfortable most of the time, especially when sitting down. The penis and scrotum are sensitive to touch, even at times the touch of my clothes. The pain/discomfort seems to cycle in and out. It is not so much pain as discomfort in that most of the time I am feeling my penis when I sit down. It can be quite distracting. It has made it more difficult for me during sex, since when my penis is bothering me I don’t have the control that I normally do. There have been times when it has been so bothersome that I have had a hard time getting to sleep.
I don’t have any sores or any visible change to my penis or scrotum. I don’t have any pain when urinating and most of the time I don’t have any pain when achieving an orgasm. A few times when the penis was really bothering me, there was some pain during orgasm.
I have been going to an urologist. He has physically examined me, taken urine samples and nothing has showed up. I had an MRI done and nothing showed up there either. He has checked out my prostrate and says that I have a prostrate of a young man. He has said he doesn’t know what the problem is and can’t help me. I keep going back for follow up exams, and urine analysis, but nothing shows up, and the doctor has no answers. They do the urine analysis right there in the office.
Last year we went to Disneyland for the day. While driving there I was feeling my penis/scrotum, but when we came back at the end of the day I noticed that my penis/scrotum wasn’t bothering me at all. It felt normal. We had been walking all over Disneyland throughout the day and by the end of the day I was tired. Since then, I have noticed that if I walk for many hours that the penis/scrotum starts to feel much better. I have had days where the penis/scrotum feels normal (or close to normal), but then it starts bothering me again within a few days. I have tried stopping prescription medications that I have been taking, as well as nutritional supplements, and I have been unable to pinpoint what is causing the problem. Yesterday I didn't eat any food or take any medications or supplements. I just drank water throughout the day and by the end of the day the discomfort was worse than in the morning.
Usually, my penis/scrotum feels better in the mornings and then feels worse by the end of the day. It feels like there is inflammation. Could there be a yeast problem that isn’t detected in a urine analysis? Have you had any similar cases? Do you have any recommendations?
Thank you,
I am 51 years old. I have been married for 18 years. I haven’t had any sexual relations outside of my marriage, and neither has my wife. She has had no symptoms of any kind.
For almost 3 years now I have been experiencing discomfort off and on with my penis and my scrotum. When it initially started, and for quite some time, it would cycle between a pleasurable feeling, and an uncomfortable feeling when I would sit down. Now, it is pretty much uncomfortable most of the time, especially when sitting down. The penis and scrotum are sensitive to touch, even at times the touch of my clothes. The pain/discomfort seems to cycle in and out. It is not so much pain as discomfort in that most of the time I am feeling my penis when I sit down. It can be quite distracting. It has made it more difficult for me during sex, since when my penis is bothering me I don’t have the control that I normally do. There have been times when it has been so bothersome that I have had a hard time getting to sleep.
I don’t have any sores or any visible change to my penis or scrotum. I don’t have any pain when urinating and most of the time I don’t have any pain when achieving an orgasm. A few times when the penis was really bothering me, there was some pain during orgasm.
I have been going to an urologist. He has physically examined me, taken urine samples and nothing has showed up. I had an MRI done and nothing showed up there either. He has checked out my prostrate and says that I have a prostrate of a young man. He has said he doesn’t know what the problem is and can’t help me. I keep going back for follow up exams, and urine analysis, but nothing shows up, and the doctor has no answers. They do the urine analysis right there in the office.
Last year we went to Disneyland for the day. While driving there I was feeling my penis/scrotum, but when we came back at the end of the day I noticed that my penis/scrotum wasn’t bothering me at all. It felt normal. We had been walking all over Disneyland throughout the day and by the end of the day I was tired. Since then, I have noticed that if I walk for many hours that the penis/scrotum starts to feel much better. I have had days where the penis/scrotum feels normal (or close to normal), but then it starts bothering me again within a few days. I have tried stopping prescription medications that I have been taking, as well as nutritional supplements, and I have been unable to pinpoint what is causing the problem. Yesterday I didn't eat any food or take any medications or supplements. I just drank water throughout the day and by the end of the day the discomfort was worse than in the morning.
Usually, my penis/scrotum feels better in the mornings and then feels worse by the end of the day. It feels like there is inflammation. Could there be a yeast problem that isn’t detected in a urine analysis? Have you had any similar cases? Do you have any recommendations?
Thank you,
Doctor's Answer
by Kevin Pho, MD, Apr 01, 2006 12:00AM
, Apr 01, 2006 12:00AM
You have had a pretty comprehensive evaluation, including MRI imaging and various urine tests.
A scrotal ultrasound can be considered to look for epididymitis. A prostatic massage can be done to express any prostatic fluid that can be sent for analysis and culture.
If infection has be completely ruled out, a cystoscopy can be done to evaluate the lower GU tract.
These options can be discussed with your urologist or in conjunction with another urological opinion.
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_b
A scrotal ultrasound can be considered to look for epididymitis. A prostatic massage can be done to express any prostatic fluid that can be sent for analysis and culture.
If infection has be completely ruled out, a cystoscopy can be done to evaluate the lower GU tract.
These options can be discussed with your urologist or in conjunction with another urological opinion.
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_b
Member Comments (6)
by hogbob99, Mar 30, 2006 12:00AM
To: Misc. (Urology)
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by SEAGLASS, Mar 30, 2006 12:00AM
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by HelpmeMD, Jun 27, 2006 12:00AM
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by Zeb358, Jun 28, 2006 12:00AM
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by Zeb358, Jun 28, 2006 12:00AM
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by basketball23, Jul 06, 2006 12:00AM
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