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Urology (Expert Forum)
Penis spasms
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 spasms
by Little Nicky, May 07, 2004 12:00AM
For the last three years, after urinating in the morning, I get some slight pain or stinging on the underside of my penis, which may last for about one hour. Other times, I have a bowel movement, and the same pain resurfaces, sometimes going away in about an hour or lingering for two or three hours. Sometimes, the pain will intensify if I am in my car, as if the vibrations of the vehicle are disturbing my urinary system.
About three years ago, I had a Urinary Tract Infection, for which they prescribed Cipro, which caused me to have hemorrhoids, which still affect me to this day. Sometimes, I have a hard stool, which causes some slight bleeding in the toilet paper. A doctor tested me a few weeks after the UTI and did not find a infection.
Doctors have prescribed Flomax, Oxytrol and other relaxants to try and control these spasms, although to no avail.
Do I have a form of Prostatitis or are they spasms related to the hemorrhoids? Is there another kind of therapy that would be helpful? Would some other antibiotic help me? I am still in agony.
About three years ago, I had a Urinary Tract Infection, for which they prescribed Cipro, which caused me to have hemorrhoids, which still affect me to this day. Sometimes, I have a hard stool, which causes some slight bleeding in the toilet paper. A doctor tested me a few weeks after the UTI and did not find a infection.
Doctors have prescribed Flomax, Oxytrol and other relaxants to try and control these spasms, although to no avail.
Do I have a form of Prostatitis or are they spasms related to the hemorrhoids? Is there another kind of therapy that would be helpful? Would some other antibiotic help me? I am still in agony.
Doctor's Answer
by Kevin Pho, MD, May 07, 2004 12:00AM
, May 07, 2004 12:00AM
I would ensure that there isn't evidence of an infection or STD. This can be done via urinalysis as well as testing the urine for chlamydia or gonorrhea.
Once ruled out, a cystoscopy can be considered to ensure there isn't any anatomical abnormality - such as a polyp or stricture that can be causing the symptoms.
Prostatitis may be a possibility - testing the prostatic fluid for infection would be the first step. A transrectal ultrasound, looking for an abscess, can be also considered if the symptoms continued.
As for another antibiotic - that would depend if there was any bacteria growing. The various aforementioned tests would be appropriate to check for this.
A urology referral should be considered.
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.
Medical Weblog:
kevinmd_b
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.
Medical Weblog:
kevinmd_b
Once ruled out, a cystoscopy can be considered to ensure there isn't any anatomical abnormality - such as a polyp or stricture that can be causing the symptoms.
Prostatitis may be a possibility - testing the prostatic fluid for infection would be the first step. A transrectal ultrasound, looking for an abscess, can be also considered if the symptoms continued.
As for another antibiotic - that would depend if there was any bacteria growing. The various aforementioned tests would be appropriate to check for this.
A urology referral should be considered.
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.
Medical Weblog:
kevinmd_b
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.
Medical Weblog:
kevinmd_b
Member Comments
by dodger1030, Mar 05, 2009 12:12AM
A related discussion, pain before bowel movement was started.
