Penis retraction

[Higgins]

I am 59 years old male and have lived with the same lady for 20 years without any prior problems of this nature. Recently, I have felt some hard fibrous lumps in the flacid penis accompanied by pain in my erection particularly during intercourse.  There appears to be a small amount of 'up' curvature in the penis although I am advised not sufficient to confirm Peyronies.  However, my main problem at the moment is my circumsized penis is retracting back into my body approximately 25mm and gives the appearance of being uncircumsized while in the flacid state and this is accommanied by a burning sensation along the skin of the penis.  The retraction is extremely uncomfortable and the burning likewise. The retraction is more pronounced when I sit or bend over.  The only relief from these symthoms is first thing in the morning when the penis has returned to its normal flacid length and the burning has all but disappeared.  However, once I have been moving arround for a while both symthoms return.  It came on fairly suddenly and has been like this for about one month.

[Kevin Pho, MD]

Difficult to say without examination.  This could be normal anatomic variation as I am not aware of a specific disease that can lead to this presentation.

You can consider a penile ultrasound to evaluate for any abnormal plaquing that can suggest Peyronie's disease.  

Regarding the burning, routine tests for infection (i.e. urinalysis, STD testing) should be considered.  A cystoscopy can be considered to evaluate for anatomical abnormalities such as a urethral stricture or polyp.

You can discuss these options with your personal physician or in conjunction with a urology evaluation.

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.
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