Gland Pain: Causes and Symptoms Explained - Urology

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What causes pain in the glans penis?


Hello doctor, why does my glans hurt after urination and also when I'm not urinating? Additionally, there is a strange discharge.
What could be the reason for this?

Ke Wen, 10~19 year old female. Ask Date: 2016/05/11

Dr. Chen Wenming reply Urology


It should be inflammation.

Reply Date: 2016/05/11

More Info


Gland pain, particularly in the context of your symptoms, can be indicative of several underlying conditions, and it’s essential to approach this issue with a comprehensive understanding of potential causes and symptoms. Based on your description of experiencing pain in the glans (the tip of the penis) after urination, as well as pain during periods of not urinating and the presence of unusual discharge, there are a few possibilities to consider.

1. Urethritis: This is an inflammation of the urethra, which can be caused by infections, sexually transmitted infections (STIs) such as gonorrhea or chlamydia, or even non-infectious causes like chemical irritants. Symptoms typically include pain during urination, discharge, and sometimes pain in the glans.

2. Balanitis: This refers to inflammation of the glans, which can occur due to infections (bacterial or fungal), poor hygiene, or irritants. Symptoms may include redness, swelling, pain, and discharge. If you are uncircumcised, the risk of balanitis can be higher due to the accumulation of smegma under the foreskin.

3. Prostatitis: Inflammation of the prostate gland can lead to pelvic pain, painful urination, and discomfort in the genital area. This condition can be acute or chronic and may require specific treatment depending on the underlying cause.

4. Sexually Transmitted Infections (STIs): As mentioned earlier, STIs can lead to urethritis and balanitis, presenting with similar symptoms. If you are sexually active, it is crucial to consider this possibility and get tested.

5. Other Infections: Other infections, such as a urinary tract infection (UTI), can also cause pain during urination and may lead to discomfort in the genital area.

6. Allergic Reactions or Irritation: Sometimes, products such as soaps, lotions, or condoms can cause irritation or allergic reactions, leading to pain and unusual discharge.

Given the symptoms you are experiencing, it is crucial to seek medical attention promptly. A healthcare provider will likely perform a physical examination and may recommend tests such as a urinalysis, urine culture, or swabs to check for STIs or other infections. Treatment will depend on the underlying cause but may include antibiotics for bacterial infections or antifungal medications for fungal infections.

In the meantime, here are some general recommendations to alleviate discomfort:
- Maintain Hygiene: Gently clean the genital area with mild soap and water, ensuring that any irritants are removed.

- Avoid Irritants: Refrain from using scented soaps, lotions, or other products that may irritate the area.

- Stay Hydrated: Drinking plenty of water can help dilute urine and may ease discomfort during urination.

- Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it may be wise to avoid sexual activity to prevent further irritation or potential transmission of infections.

In conclusion, while gland pain can arise from various causes, the symptoms you describe warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment are essential to prevent complications and ensure your health and well-being.

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