Urological Issues: Pain and Concerns After Circumcision

Q: Urological Issues: Pain and Concerns After Circumcision

Hello： 1) Most doctors would not recommend treatment for this type, as it requires surgery. <br>2) If it is more to the left, it could be varicose veins; if the perineum is more severely affected, it may indicate a prostate issue. <br>It is advisable to avoid prolonged sitting or

Phimosis, scrotal and groin swelling and pain?

Hello, doctor.
I have a couple of questions:
1.
I had a circumcision when I was young, and now there is no foreskin covering my penis.
However, I have several hidden single and double fistulas on the left and right sides at the base of the penis, approximately 0.1 to 0.2 centimeters deep.
I usually pay close attention to hygiene, but recently I squeezed the area around the base of the penis, and a white substance resembling a pimple came out.
If I want to have that single or double fistula treated, should I make an appointment with a urologist at the hospital? How would the doctor go about removing the single and double fistulas?
2.
For the past few years, I have occasionally experienced a dull, cramping pain in the area just below the pubic bone on the left side of the scrotum, which sometimes radiates to the testicles and can be quite uncomfortable, but it usually resolves on its own after a while.
What could be the cause of this condition? Should I also see a urologist for this issue? Thank you for your response, doctor.

Chun Chun, 20~29 year old female. Ask Date: 2019/08/28

Dr. Du Shixi reply Urology

Hello: 1) Most doctors would not recommend treatment for this type, as it requires surgery.
2) If it is more to the left, it could be varicose veins; if the perineum is more severely affected, it may indicate a prostate issue.
It is advisable to avoid prolonged sitting or standing, practice safe sex, and seek medical attention when possible.

Reply Date: 2019/08/28

More Info

Hello! Thank you for your questions regarding your urological concerns. Let's address each of your queries in detail.

1. Regarding the presence of fistulas or openings at the base of the penis: It sounds like you have developed some small openings (fistulas) near the base of your penis, which can sometimes occur after circumcision. These openings can sometimes become clogged or infected, leading to the discharge you described. If you are noticing a white substance that resembles a pimple, it could be a sebaceous cyst or an accumulation of smegma, which is a combination of dead skin cells and oils.
To address this issue, it is advisable to consult a urologist. They will perform a physical examination and may use imaging studies if necessary to assess the condition of the fistulas. Treatment options may include cleaning out the fistulas, draining any cysts, or in some cases, surgical intervention to remove the fistulas if they are problematic. The urologist will determine the best course of action based on the specifics of your condition.

2. Regarding the pain in the groin and scrotum: The discomfort you are experiencing in the left groin area, which radiates to the testicles, could be due to several reasons. Common causes include inguinal hernias, testicular torsion, or referred pain from conditions affecting the bladder or prostate. Since you mentioned that the pain is intermittent and can be quite severe, it is essential to have this evaluated by a healthcare professional.

A urologist would be the appropriate specialist to consult for this issue as well. They will likely perform a physical examination and may order imaging tests such as an ultrasound to assess the structures in the groin and scrotum. Depending on the findings, they may recommend treatment options ranging from conservative management (like pain relief and observation) to surgical intervention if a hernia or other significant issue is identified.

In summary, both of your concerns are best addressed by a urologist. They can provide a thorough evaluation and appropriate treatment for the fistulas and the groin pain. It’s important not to ignore these symptoms, especially if they are causing you discomfort or concern.
Remember to maintain good hygiene in the genital area, as this can help prevent infections or complications. If you notice any changes in the discharge, increased pain, or other concerning symptoms, seek medical attention promptly.
I hope this information helps clarify your concerns, and I wish you the best in your health journey!

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