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Urology  (Expert Forum)
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Penis pain in the left tip and bottom left region.
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 in the left tip and bottom left region.

by coleone, Dec 02, 2005 12:00AM
I'm 25 years old living in ON, Canada. During the summer I had an ear infection and was placed on Tequin for a period of 10 days. Within the 8th day I experienced a sharp pain

in my penis around the left tip and bottom left region of where you urinate. I reviewed a penis diagram to describe all areas of pain -- The Urethra, Erectile Tissue and Glans penis. If I ejaculate the entire penis is in pain for hours. Albeit I am not sexually active nor have I been for over three years.

I went back to inform the same doctor who prescribed Tequin. He then prescribed Phenazo (200MG) for 10 days. This doctor felt the problem was in the mucous membrane.

Phenazo only relived me of the pain temporarily. Phenazo proved successful until a whole week after finishing the prescription. Then the pain in the penis returned. A mild pain this time. Now the pain is recurrant, coming and going at unpredictable times. Sometime for long hourly durations.

I'd visit other doctors in my city, Ottawa. One doctor said he couldn't prescribe anything. This doctor didn't suggested that I sought help from my family doctor and Urologist.

Next doctor wanted to thoroughly examine the problem. He checked my prostate region. He found no problems. I told him that I was under a lot of stress due to a legal case I am near finishing. He prescribed me a sleeping, relaxation type of medication that I never bothered to fill.

I went to another doctor this time in Belleville. When a urine test was analyzed, this male doctor said there was something very strange with a blood cell in my urine. Something was wrong. He was to forward these results to my family doctor in that city.

I had an appointment with my family doctor. His opinion was that it's a membrane problem. Nothing of the urine test from the prior doctor was reviewed. I performed a new urine test at my family doctor's office to find there were no problems. My family doctor referred me to a Urologist appointment next month.

Presently no pain in my penis has disappeared. I have to rush to the washroom and urinate every 15-20 minutes. When my bladder fills up, my penis increases in pain around the whole tip region until I've finished urinating.

Two years ago I went through having intense kidney and chronic prostatitis infections. Could this be a reoccurance of a similar type of problem?

Any opinions or suggestions as to what to do would be appreciated.

by Kevin Pho, MD, Dec 03, 2005 12:00AM
There can be several considerations.  The first would be infection such as prostatitis.  This can be difficult to treat, and may require extended courses of antibiotics.

Sending off any prostatic fluid for analysis and culture can be done.  A transrectal ultrasound can image the prostate for an abscesses.  

Non-infectious causes can be anatomical abnormalities (i.e. a urethral stricture or urethral polyp).  You can consider a cystoscopy to evaluate this.

Systemic disease like diabetes or thyroid disorders can lead to the urinary frequency problems.  These can be tested via simple blood tests.

These considerations should 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_b
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