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Urology (Expert Forum)
pain during erection and ejaculation
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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.
pain during erection and ejaculation
by chris2four2, Jan 02, 2007 12:00AM
For about 9 months I have sometimes had painful erections. My erections are not always painful, but frequency has increased. I have always had great, very hard erections that get harder when I ejaculate, but this increased hardness has always been pleasurable. Before this problem, i had strong contractions in my perenium area when I ejaculated, and this made me ejaculate semen 30 to 36 inches.
Now, when I have a painful erection the symptoms are: very rigid erection, harder than normal; testicles draw up tightly to groin, right one almost disappearing into groin; ejaculation causes even more rigidity which makes orgasm painful; upon orgasm, ejaculation contractions in my perenium are even stronger but my semen does not ejaculate very far -- maybe 6 inches (which is really disappointing).
The erection is painful and it hurts to masturbate; the head of my penis gets very purple and full. Pain with orgasm is due to the increased rigidity orgasm causes. What can be causing this?
Now, when I have a painful erection the symptoms are: very rigid erection, harder than normal; testicles draw up tightly to groin, right one almost disappearing into groin; ejaculation causes even more rigidity which makes orgasm painful; upon orgasm, ejaculation contractions in my perenium are even stronger but my semen does not ejaculate very far -- maybe 6 inches (which is really disappointing).
The erection is painful and it hurts to masturbate; the head of my penis gets very purple and full. Pain with orgasm is due to the increased rigidity orgasm causes. What can be causing this?
Doctor's Answer
by Kevin Pho, MD, Jan 03, 2007 12:00AM
, Jan 03, 2007 12:00AM
Difficult to say without evaluation.
You can image the penis for any vascular or anatomical abnormalities which can lead to these symptoms.
Infection can also be considered. Evaluation of the prostate as well as for urethritis can be done. This can be evaluated with a digital rectal exam as well as urine tests looking for infection. A transrectal ultrasound can be considered to image the prostate.
These options can be discussed with a 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_
You can image the penis for any vascular or anatomical abnormalities which can lead to these symptoms.
Infection can also be considered. Evaluation of the prostate as well as for urethritis can be done. This can be evaluated with a digital rectal exam as well as urine tests looking for infection. A transrectal ultrasound can be considered to image the prostate.
These options can be discussed with a 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_
