Penile pain or penile cramping?
Hello Doctor, I have recently been experiencing occasional sharp pain behind the glans of the penis and deep in the mid-shaft area.
However, the sensation is not very intense, and there is no pain when I apply pressure.
I used to have a habit of daily masturbation, and I have also noticed a slight feeling of increased urinary frequency.
Occasionally, I feel the need to urinate shortly after finishing, but the volume is very small.
Could you please advise me on what this issue might be? Thank you, Doctor.
Kevin, 20~29 year old female. Ask Date: 2019/06/05
Dr. Du Shixi reply Urology
Hello: If there are no urinary issues, the pain during urination may be related to a nerve problem, while persistent pain could indicate an injury.
If there are urinary symptoms, a urinalysis should be performed to rule out certain conditions.
If the urinary symptoms are mild, it is advisable to drink plenty of water and maintain a light diet, avoiding beverages temporarily.
Monitor the situation.
Wishing you good health.
Reply Date: 2019/06/05
More Info
Understanding penile pain can be a complex issue, as it may arise from various underlying causes. Your symptoms, which include occasional sharp pain in the glans (the head of the penis) and the shaft, along with a sensation of increased urinary frequency, warrant a thorough examination to determine the root cause.
Firstly, it’s important to consider the possibility of a urological condition. Given your history of frequent masturbation and the sensation of urgency in urination, you might be experiencing symptoms related to prostatitis or urethritis. Prostatitis, which is inflammation of the prostate gland, can lead to discomfort in the pelvic region, including the penis, and may also cause urinary symptoms such as frequency and urgency. Urethritis, an inflammation of the urethra, can similarly present with pain and discomfort during urination or after ejaculation.
Another potential cause of your symptoms could be related to pelvic floor muscle tension. Chronic tension in the pelvic floor muscles can lead to referred pain in the genital area, including the penis and testicles. This is often seen in individuals who experience anxiety or stress, which can lead to muscle tightness and discomfort. If you find that your symptoms are exacerbated by stress or anxiety, this could be a contributing factor.
In addition to these conditions, it’s also important to rule out any sexually transmitted infections (STIs) or other infections that could cause discomfort in the genital area. Symptoms such as pain, discomfort, or unusual discharge should prompt a visit to a healthcare provider for appropriate testing and treatment.
Given your description of the pain being mild and not exacerbated by pressure, it may not indicate a severe underlying condition, but it is still essential to seek medical advice. A urologist can perform a physical examination, possibly including a digital rectal exam, and may recommend urine tests or imaging studies to assess for any abnormalities.
In the meantime, consider the following recommendations:
1. Hydration: Ensure you are drinking plenty of water, as dehydration can exacerbate urinary symptoms.
2. Avoid Irritants: Limit the intake of caffeine, alcohol, and spicy foods, which can irritate the bladder and worsen urinary frequency.
3. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) may help alleviate tension in the pelvic muscles and reduce discomfort.
4. Stress Management: If you suspect that stress or anxiety is contributing to your symptoms, consider relaxation techniques such as deep breathing, meditation, or yoga.
In conclusion, while your symptoms may not indicate a severe condition, they are certainly worth investigating further. A visit to a urologist will provide you with a clearer understanding of your situation and help you find appropriate treatment options. Remember, it’s always better to address these concerns sooner rather than later to ensure your overall health and well-being.
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