Penile Pain: Causes and When to Seek Help - Urology

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Penile pain can be a concerning symptom, especially when it arises suddenly or after a specific activity, such as the DIY activity you mentioned. Based on your description, it seems that you are experiencing pain localized to the area just below the glans (the head of the penis) during an erection, while no pain is present when flaccid. This pattern of pain can have several potential causes, and understanding these can help determine when to seek medical attention.


Possible Causes of Penile Pain
1. Trauma or Injury: If the pain began after a specific activity, it is possible that there was some form of trauma or strain to the penile tissue. This could include micro-tears in the tissue, especially if there was vigorous manipulation or if the penis was bent during the activity.

2. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause curved, painful erections. While it typically presents with a noticeable curvature, it can also cause localized pain.

3. Infection or Inflammation: Conditions such as balanitis (inflammation of the glans) or urethritis (inflammation of the urethra) can lead to pain. These conditions may not always present with visible signs like redness or swelling, especially in the early stages.

4. Nerve Irritation: Sometimes, nerve irritation or entrapment can lead to pain during erections. This can occur due to various factors, including pelvic floor muscle tension or other underlying conditions.

5. Vascular Issues: Conditions affecting blood flow, such as priapism (prolonged erection) or other vascular disorders, can also lead to pain during an erection.


When to Seek Medical Help
You should consider seeking medical attention if:
- The pain persists for more than a few days without improvement.

- You experience significant swelling, bruising, or any visible changes in the penis.

- There is any discharge from the urethra or signs of infection (such as fever or chills).

- You have difficulty achieving or maintaining an erection, or if the pain worsens during sexual activity.

- You notice any changes in urination, such as pain or difficulty.


Recommended Actions
1. Rest and Avoid Aggravating Activities: Until you have a clearer understanding of the cause, it may be wise to avoid any activities that could exacerbate the pain, including sexual activity.

2. Over-the-Counter Pain Relief: If the pain is bothersome, you might consider taking over-the-counter pain relief medications such as ibuprofen or acetaminophen, as long as you do not have any contraindications to these medications.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity of the pain, any new symptoms, or changes in erectile function.

4. Consult a Healthcare Provider: If the pain persists or worsens, it is advisable to consult a healthcare provider. A urologist would be best suited to evaluate your symptoms, perform any necessary examinations, and recommend appropriate treatment options.


Conclusion
While penile pain can arise from various causes, many of which are benign, it is essential to pay attention to your body and seek medical advice if the pain does not resolve or if you experience additional concerning symptoms. Early intervention can help prevent complications and ensure proper management of any underlying conditions.