Penis Pain

Penis Pain

For men, the penis is one of the most, if not the most important organ. So if there are any signs of pain or discomfort, it usually causes a lot of worry and anxiety. However, pain in the penis can be due to many different conditions. Some are harmless, others may need immediate treatment.
So I have listed below some of the common causes of penile pain so that you can know when you need to rush to see the doctor or only come in the following Monday.
Balanitis refers to inflammation of the foreskin which can be caused by fungal or bacterial infections, and irritants such as soaps, powders or creams that are applied over the foreskin. People that have diseases which compromise the immune system, such as Diabetes and HIV, may be more prone to this condition.
The pain caused by the inflammation is usually not severe but it can be throbbing, itchy and rather uncomfortable. This can be easily treated by treating the cause or avoiding the irritant.
See: Treatment for Penile Infection
Herpes is one of the most common Sexually Transmitted Diseases STDs. This infection is transmitted through skin to skin contact and is usually caused by 2 different viruses called HSV 1 and HSV 2, which are usually known to cause lesions in the mouth and genital areas respectively. However, during oral sex, the virus can be passed on from the mouth to the penis causing genital herpes.
They usually present with painful blisters or ulcers over the skin and can be painful or at least very sensitive to touch. It can be treated with anti-viral tablets although it will keep recurring throughout a person’s life.
See: Everything You Need to Know about Herpes Simplex Virus
Chancroid is caused by a bacteria called Haemophilus Ducreyi and is transmitted through sexual intercourse. It commonly presents with a single large painful ulcer on the penis along with enlarged and tender lymph nodes in the groin region.
Chancroid is an infection that is usually caught via sexual contact. This can be treated with antibiotics once the diagnosis is established by your doctor.
See: The causes of Genital Blister and Ulcers
This is an infection of the urinary tract along the penis, through which the urine is passed out from the bladder. When an infection occurs along this tract it results in pain when urinating or discharges from the tip of the penis. Sometimes even when not urinating, one can feel the pain along the urethra itself.
Urethritis can be caused by Chlamydia, Gonorrhea, NSU or Herpes which are very common infections that can be transmitted through sexual intercourse. A simple urine test and sometimes a urethral swab can be performed to found out the exact cause and in most cases, it is easily cured with antibiotics.
See: What are the causes of Abnormal Penile Discharge
When the prostate is involved during a urinary tract infection it can cause severe pain during urination and sometimes fever and shivering. This sometimes is difficult to diagnose and may involve the doctor placing a finger up the anus to feel for any tenderness in the prostate gland. Moreover, it usually requires a longer course of antibiotics.
See: The Causes, Testing and Treatment of Prostatitis (Prostate Inflammation)
The penis is made out of erectile tissues and blood vessels. Although there is no bone in the penis, during an erection it can be as hard as bone. The term penis fracture is used when there is an injury to the erectile tissue inside the penis. It usually happens during sexual intercourse when the penis accidentally fully or partially slips out of the partner and the partner sits back down on the penis which injures it.
This will result in a sudden onset of pain and in certain cause you may even hear a snapping sound. When this occurs you should go to the emergency department immediately because it is a medical emergency.
The frenulum is a thin strip of skin connecting the head of the penis to the foreskin. This can break during intercourse, especially when it’s rough, and result in pain and a lot of bleeding. The pain can last up to a few days as the frenulum heals. The healing time varies and it may get repeatedly injured during subsequent intercourse. When it started to occur more frequently, a simple surgical procedure may be done to fix the frenulum.
Frenulum breve , or short frenulum , is a condition in which the frenulum of the penis is too short and thus restricts the movement of the foreskin.
See: Frenulum Breve Treatment or Penile Frenulectomy
Is your penis bent during an erection? At the point where it is bent, can you feel a painful lump?
If it is yes to both questions, you may have Peyronie’s Disease . This happens when a spot along the penis shaft becomes inflamed and as it heals, it leads to contraction of one side of the penis causing it to bend. The pain may arise from the area of inflammation or in certain cases when the curvature is so severe, it causes pain during sexual intercourse.
Please see a doctor if you think you have Peyronie’s disease, and once the diagnosis is established the doctor may suggest several treatment options ranging from shock wave therapy to surgery.
This is a condition where the foreskin is completely retracted to expose the head of the penis and cannot be pulled forward to cover the head of the penis again. When the foreskin get inflamed and forms a band around the penis, it may affect the blood flow to the tip of the penis and usually causes severe pain.
This is a medical emergency and patients with this issue should see a doctor immediately. Most of the time, the doctor can use special techniques to pull the foreskin back into place.
Learn more about Paraphimosis .
This is a condition where there are non-specific symptoms in the groin area including pain in the penis, testicles or even lower back pain. This is due to inflammation either in the prostate or any of the organs in the groin area.
Read more about CPPS here.
Next time you feel pain or discomfort, do consider the possible.
If you wish to speak to our doctor about penile pain, please visit our DTAP Clinics or you can call us , or email us for an appointment at hello@dtapclinic.com.sg .
Take Care!
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See your urologist if pain is persistent or severe

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Penis pain involves any pain or discomfort, internal or external, of the penis. If you’re experiencing aches and pains in the penis, whether during sexual intercourse or at other times, you should schedule a trip to your doctor or a urologist if symptoms persist or are severe.

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Chief among the causes of penis pain is Peyronie’s disease, an abnormal curvature of the penis usually caused by scar tissue in the tunica albuginea — the strength layer of the penis — says urologist Ryan Berglund, MD .
Peyronie’s can interfere with intercourse either by making it painful or by leading to erectile dysfunction, Dr. Berglund says. Some men report hearing a pop or snap in the penis shortly before an erection, he says.
About one in 20 men develop Peyronie’s at some point in their lives. The exact cause of Peyronie’s disease is unknown.
The disease becomes severe enough to inhibit intercourse in only 1% to 2% of men. Physicians typically intervene only in those cases.
Surgery is a possible treatment in some cases. Doctors also sometimes use a penile prosthetic to treat the condition. Incision of plaque from the penis is another type of treatment, he says.
While Peyronie’s gets somewhat more likely to occur with age, men in any stage of life may develop the condition, Dr. Berglund says.
“I’ve seen plenty of young men who have it,” he says.
A somewhat rarer source of pain in the penis are penile fractures. A penis fracture can occur when there is trauma to the erect penis. The trauma may rupture the lining of one of the two cylinders in the penis responsible for erections.
Men who experience this report hearing a popping sound, then experiencing severe pain, swelling and dark bruising of the penis, Dr. Berglund says.
Penile fractures are medical emergencies. The concern is that they can lead to permanent erectile dysfunction if not treated immediately.
“You need to go in and quickly have those sewn up,” he says. “But fractures are fairly rare.”
Skin disorders such as lichen sclerosus sometimes cause penis pain. This condition looks like small white bumps that are shiny and smooth. Later, the spots grow into bigger patches. The skin on the patches becomes thin and crinkled. Then the skin tears easily, and bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the disease is a mild case, there may be no symptoms.
Lichen sclerosus is an “inflammatory scarring response that can lead to difficulty in urination and anatomic problems with the penis,” Dr. Berglund says. The likelihood of developing lichen sclerosus grows significantly higher with age.
Uncircumcised men sometimes develop a painful condition called phimosis . This means the foreskin cannot be fully retracted. This condition sometimes requires corrective surgery, he says. Older men are considerably more likely to develop phimosis, as well.
Uncircumcised men are more likely to develop hard lesions on the penis. This condition is rare in the United States, but more common worldwide. Improved hygiene usually clears up this problem. However, a doctor should evaluate the condition to rule out penile cancer , Dr. Berglund says.
Penis pain can have many causes, from Peyronie’s to penile fracture to skin disorders like lichen sclerosus. Here’s when to see your doctor.

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Kennebrew GJ, Daggett B, Ritz RB. Traumatic Penile Pain: A Case of Dorsal Vein Thrombophlebitis after Intercourse. Case Rep Emerg Med. 2018; 2018: 4205628. [Cited 22 August 2019]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925172/

Penis swelling or pain- HealthDirect [Internet]. healthdirect.gov.au 2017 [Cited 22 August 2019]. Available from: https://www.healthdirect.gov.au/penis-swelling-or-pain

Penis pain- Medline Plus, Medical Encyclopedia, NIH, U.S. National Library of Medicine [Internet]. medlineplus.gov 2019 [Cited 22 August 2019]. Available from: https://medlineplus.gov/ency/article/003166.htm

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