Pain in the Penis: Is It a Short Frenulum Issue?

Q: Pain in the Penis: Is It a Short Frenulum Issue?

Hello： 1) When the penis is raised (in a non-erect state), touching the area where the base of the penis meets the scrotum causes a sharp pain --> you should see a urologist. <br>2) Since childhood, my erections have always been at an angle of about 80 degrees; however, not every

Could it be a ligament issue?

Hello Doctor: I have a line on the inner side of my penis (the side next to the scrotum) that feels sharp when touched.
I looked it up online, and it might be where the frenulum is located (since I haven't had a circumcision, I can't see the frenulum unless I have an erection or retract the foreskin).
Additionally, when I lift my penis (in a non-erect state) and touch the area where the base of the penis meets the scrotum, it is even more painful.
Could this be caused by a short frenulum? I've always had an erection at about an 80-degree angle, but I can't achieve more than 90 degrees, like when it hits the abdomen on TV.
However, it has never affected intercourse or ejaculation.
It's just that sometimes, if I engage in sexual activity for a bit longer, I notice more pain when rinsing afterward.
What could be the possible cause? Thank you for your response.

merlin, 30~39 year old female. Ask Date: 2017/10/16

Dr. Du Shixi reply Urology

Hello: 1) When the penis is raised (in a non-erect state), touching the area where the base of the penis meets the scrotum causes a sharp pain --> you should see a urologist.
2) Since childhood, my erections have always been at an angle of about 80 degrees; however, not every man can achieve an angle greater than 90 degrees or like those seen on television where it touches the abdomen.
3) It's just that if I engage in sexual activity for a bit longer, the pain during urination afterward becomes more pronounced --> it may be caused by friction, but I cannot be certain.
Wishing you good health.

Reply Date: 2017/10/16

More Info

Understanding pain in the penis, particularly in the context of a short frenulum, can be complex and multifaceted. The frenulum is a band of tissue located on the underside of the penis that connects the glans (tip) to the shaft. A short or tight frenulum can indeed lead to discomfort or pain during erections or sexual activity, as it may restrict the movement of the penis and cause tension during these activities.

From your description, it seems that you are experiencing sharp pain along the inner side of the penis, particularly near the frenulum and where the penis meets the scrotum. This pain could be attributed to several factors, including:
1. Frenulum Breve: A short frenulum can cause discomfort during erections, as it may pull on the sensitive tissue, leading to pain. This condition can sometimes be corrected through a minor surgical procedure known as frenuloplasty, which lengthens the frenulum and alleviates the tension.

2. Sensitivity and Irritation: The area you described is rich in nerve endings, making it particularly sensitive. If there is any irritation, whether from friction during sexual activity, tight clothing, or even hygiene products, it can lead to pain.
3. Infection or Inflammation: Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can also cause pain in the area. These conditions may arise from poor hygiene, infections, or irritants.

4. Peyronie’s Disease: Although less common, Peyronie’s disease involves the development of fibrous scar tissue inside the penis, which can cause pain and curvature during erections. This condition usually presents with a noticeable bend in the penis and may require medical intervention.

5. Nerve Entrapment or Injury: Given your history of trauma or injury to the area, it’s possible that there may be nerve entrapment or damage that is contributing to your pain. This could manifest as sharp, shooting pains or discomfort during certain movements.

6. Psychological Factors: Anxiety or stress related to sexual performance or previous pain experiences can also exacerbate physical symptoms. The mind-body connection is powerful, and psychological factors can lead to increased sensitivity or perception of pain.

Given that you have experienced this pain for a while, and it seems to be affecting your quality of life, it is important to consult with a healthcare professional, preferably a urologist. They can perform a thorough examination, possibly including imaging studies or other diagnostic tests, to determine the underlying cause of your pain.
In the meantime, consider the following self-care strategies:
- Avoid Tight Clothing: Wearing loose-fitting underwear and pants can help reduce friction and irritation in the area.

- Gentle Hygiene: Maintain good hygiene, but avoid harsh soaps or products that could irritate the sensitive skin.

- Warm Compresses: Applying a warm compress to the area may help alleviate discomfort temporarily.

- Avoid Aggravating Activities: If certain activities or positions exacerbate the pain, it may be wise to avoid them until you have a clearer understanding of the cause.

In conclusion, while a short frenulum could be a contributing factor to your pain, it is essential to consider other potential causes and seek professional medical advice for an accurate diagnosis and appropriate treatment.

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