discomfort/pain on arousal/erection

When I get sexually aroused I get discomfort/pain in my right rear about where I believe my prostate is.

I've had this discomfort for 18 months now and am wondering why this is.

The discomfort intensity increases if I have sex twice in 24 hours.  It lasts all day and reduces with sleep.  It disappears if I'm not sexually active, but comes back again straight away when I am active.

I can get discomfort at the tip of my penis which I believe is due to prostate inflamation (inflammation).

I'm 42 and in generally good health though I do have a minor back complaint which causes some nerve discomfort in my glute that runs down my leg.  I used to think this was connected with the arousal issue but I'm not sure that it is.

I'm not overweight and quite fit, excerising regualarly.

I have been tested for prostatitis and don't have this or prostate cancer.  I have been on very strong antibitotics to see if this would clear it up (the supposed prostatis)but no change.

My PSA levels are low.

My urologist has said on previous occasion that my prostate feels a bit boggy.

Cna you tell me why I get discomfort on arousal and is it bad for my long term health, and is there anything I can do or take to stop it happening.

[Kevin Pho, MD]

Prostatitis is certainly a possibility.  However, you have been tested for this and the tests have been non-revealing.  You have mentioned that antibiotics do not seem to help.

You can further test the prostate with an ultrasound to evaluate the anatomy and look for any abscesses.  Another option would be a prostatic massage where you can send the prostatic fluid for analysis and culture.  

If these tests are non-revealing, you can consider a cystoscopy which can evaluate the lower GU anatomy looking for any abnormalities (i.e. a urethral polyp or stricture) that can lead to the symptoms you describe.

You can discuss these options with your personal physician.

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

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