Glans issues
Doctor, I have a question: This week, I sometimes feel a slight pain in my genital area when urinating (it's not always during urination, and it's not constant; it also occurs during erections).
Initially, I felt pain in the glans when shaking after urination, but that has gradually subsided.
Now, I occasionally feel pain in the area when urinating.
Could this be balanitis? Should I see a urologist for my condition?
A Yang, 10~19 year old female. Ask Date: 2017/10/21
Dr. Du Shixi reply Urology
Hello: If there is redness, flaking, or broken skin on the foreskin, you should seek medical attention.
If not, keep the area dry and clean, and engage in light exercise regularly.
Consult a doctor if any issues arise.
Wishing you good health.
Reply Date: 2017/10/21
More Info
Experiencing pain in the glans (the head of the penis) can be concerning, and it’s important to understand the potential causes and when to seek medical attention. Based on your description, it seems you are experiencing intermittent pain that is not constant and occurs during urination and sometimes during erections. This could indeed be indicative of a condition such as balanitis (inflammation of the glans), but there are other possibilities as well.
Possible Causes of Glans Pain
1. Balanitis: This is the inflammation of the glans, often caused by infections (bacterial or fungal), poor hygiene, or irritants such as soaps or lotions. Symptoms may include redness, swelling, and pain, particularly during urination or sexual activity.
2. Urethritis: Inflammation of the urethra can cause pain during urination and may be associated with a burning sensation. This can be due to infections, including sexually transmitted infections (STIs) like gonorrhea or chlamydia.
3. Peyronie’s Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause pain during erections and may lead to curvature.
4. Phimosis or Paraphimosis: If the foreskin cannot be retracted fully over the glans, it can lead to pain and inflammation.
5. Other Infections: Conditions such as herpes or other STIs can also present with pain in the genital area.
When to See a Urologist
Given your symptoms, it is advisable to consult a urologist, especially if:
- The pain persists or worsens.
- You notice any additional symptoms such as discharge, swelling, or redness.
- You experience pain during sexual activity.
- There is any change in urination patterns, such as increased frequency, urgency, or blood in the urine.
Importance of Early Diagnosis
Seeing a urologist is crucial for several reasons:
- Accurate Diagnosis: A urologist can perform a thorough examination and may recommend tests such as urine analysis or swabs to identify any infections or underlying conditions.
- Treatment Options: Depending on the diagnosis, treatment may include topical medications, antibiotics, or other interventions to relieve symptoms and address the underlying cause.
- Preventing Complications: Early intervention can prevent potential complications, such as chronic pain or more severe infections.
Conclusion
While your symptoms may suggest a relatively common issue like balanitis, it is essential to have a professional evaluation to rule out other potential causes. Urologists specialize in male reproductive health and urinary tract issues, making them the best choice for addressing your concerns. Don’t hesitate to seek medical advice, as early diagnosis and treatment can significantly improve your condition and quality of life.
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