Pain in the Glans and Prostate: Causes and Solutions - Urology

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Pain in the glans and prostate?


When preparing for an erection during masturbation, I experience pain when the glans enlarges and the skin is pulled down.
There is a burning sensation when urinating, and recently I've noticed a faint blood tinge.
Additionally, I feel a lot of itching in the genital area at school and have the urge to scratch.
What could be causing this?

抱歉, 10~19 year old female. Ask Date: 2020/03/05

Dr. Li Xinyi reply Urology


It sounds like there may be an issue with urethritis or even prostatitis.
It is recommended to see a urologist for an examination and discuss treatment options with the physician.

Reply Date: 2020/03/05

More Info


Experiencing pain in the glans (the head of the penis) and associated symptoms such as burning during urination, itching, and the presence of blood can be concerning and may indicate several underlying issues. Here’s a comprehensive overview of potential causes and suggested solutions based on your symptoms.


Possible Causes
1. Infection: One of the most common causes of pain and burning sensations in the genital area is an infection. This could be a urinary tract infection (UTI), sexually transmitted infection (STI), or a fungal infection such as candidiasis. The presence of blood in urine or after urination can also suggest an infection or irritation in the urinary tract.

2. Inflammation: Conditions like balanitis (inflammation of the glans) or prostatitis (inflammation of the prostate) can cause pain and discomfort. Balanitis can result from poor hygiene, irritants, or infections, while prostatitis can be bacterial or non-bacterial in nature.

3. Allergic Reaction or Irritation: Itching and discomfort can also stem from an allergic reaction to soaps, lotions, or other products that come into contact with the genital area. Friction from clothing or during activities like masturbation can exacerbate this irritation.

4. Dermatological Conditions: Skin conditions such as eczema or psoriasis can affect the genital area, leading to itching and discomfort.
5. Urethral Stricture: A narrowing of the urethra can cause pain during urination and may lead to blood in the urine. This condition can result from previous infections, trauma, or inflammation.

6. Sexually Transmitted Infections (STIs): Conditions such as gonorrhea or chlamydia can cause similar symptoms, including burning during urination, discharge, and sometimes blood.


Suggested Solutions
1. Seek Medical Attention: Given the symptoms you are experiencing, particularly the presence of blood and persistent pain, it is crucial to consult a healthcare professional. A urologist can perform necessary tests, including urinalysis and possibly cultures, to determine the exact cause of your symptoms.

2. Avoid Irritants: Until you can see a doctor, avoid using any potential irritants such as scented soaps, lotions, or other products in the genital area. Opt for mild, unscented products.

3. Maintain Hygiene: Keeping the area clean and dry can help reduce irritation. Gently wash the area with warm water and avoid scrubbing.

4. Hydration: Drinking plenty of water can help dilute urine and may alleviate some burning sensations during urination.

5. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen may help manage discomfort, but consult with a healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.

6. Avoid Sexual Activity: Until you have a clear diagnosis, it may be wise to avoid sexual activity, as this could exacerbate your symptoms or lead to further complications.

7. Follow-Up: If you have been prescribed medication or treatment, ensure you follow up with your healthcare provider to monitor your symptoms and adjust treatment as necessary.


Conclusion
Your symptoms warrant a thorough evaluation by a healthcare professional to rule out serious conditions and to receive appropriate treatment. Early intervention can prevent complications and lead to a quicker resolution of your symptoms. Remember, it’s important to communicate openly with your doctor about all your symptoms and any changes you notice.

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