Urology Concerns: Symptoms, Testing, and Treatment

Please consult the physician?

Dear Doctor,
I would like to ask you a few questions.
I have noticed some yellowish small bumps on my foreskin.
What could these be? Additionally, my foreskin feels moist and slippery.
Does this indicate a sexually transmitted infection? I also sometimes experience pain in the area near my testicles and anus.
What could this be? I've been quite worried about these issues lately, and I would appreciate your guidance.
Furthermore, does Yunlin Hospital offer testing for sexually transmitted infections? Is it necessary to pay out of pocket, or does health insurance cover it? How long does it typically take to receive the test results?
I am particularly concerned because I had unprotected sexual intercourse with a girl in June, and I can't stop worrying about whether I might have contracted HIV or another sexually transmitted infection.
Could you please advise me on this situation?
Thank you, Doctor.

Sincerely,
Xiao Han

Xiao Han, 20~29 year old female. Ask Date: 2004/10/22

Dr. Weng Wenzhen reply Urology

Typically, male patients with a foreskin often have a cluster of small bumps beneath the glans.
These are papules caused by chronic irritation from the foreskin and are not sexually transmitted infections, so they do not require treatment.
The area between the scrotum and the anus is referred to as the perineum.
If there is pain in the perineum, it may indicate a prostate issue, and a hospital visit for examination is advisable.
Routine preventive health check-ups are not covered by health insurance.

Reply Date: 2004/10/22

More Info

Hello, thank you for reaching out with your concerns regarding urology symptoms and potential sexually transmitted infections (STIs). It's understandable to feel anxious about these issues, especially after a recent sexual encounter without protection. Let's address your questions step by step.

Firstly, the yellowish bumps you've noticed on your foreskin could be a variety of things. One possibility is that they are pearly penile papules, which are harmless and common in many men. However, they could also be a sign of a skin condition or an infection, such as a fungal infection or even a sexually transmitted infection (STI). The moist, slippery sensation you describe could be due to a number of factors, including natural lubrication, irritation, or an infection.
Regarding the pain you feel near your testicles and around the anal area, this could be related to several conditions, including epididymitis (inflammation of the epididymis), a hernia, or even referred pain from other areas. It’s important to have these symptoms evaluated by a healthcare professional, as they can provide a proper diagnosis and treatment plan.

As for your concerns about STIs, it’s crucial to get tested, especially after unprotected sex. Many STIs can be asymptomatic, meaning you might not show any symptoms even if you are infected. Testing for STIs, including HIV, is essential for your health and the health of your partners.
Regarding your question about testing at Yunlin Hospital, most hospitals in Taiwan do offer STI testing, including for HIV. Some tests may be covered by national health insurance, while others might require out-of-pocket expenses. It’s best to contact the hospital directly to inquire about specific tests, costs, and whether they are covered by insurance. Typically, results for STI tests can take anywhere from a few days to a couple of weeks, depending on the specific tests conducted.

Given your recent sexual encounter and the symptoms you are experiencing, I strongly recommend that you see a urologist or a healthcare provider as soon as possible. They can perform a physical examination, order the necessary tests, and provide you with the appropriate treatment if needed.
In the meantime, try to avoid any irritants, such as scented soaps or lotions, and maintain good hygiene. If you experience any worsening symptoms, such as increased pain, swelling, or discharge, seek medical attention promptly.

Lastly, it’s important to remember that while it’s natural to worry about potential infections, many conditions are treatable, and early intervention can lead to better outcomes. Don't hesitate to reach out for help and get the answers you need for peace of mind.
Take care, and I wish you the best in your health journey.

Similar Q&A

Understanding Urinary Issues: Symptoms, Concerns, and Next Steps

Hello, Dr. Hsu. I have been experiencing frequent urination, incomplete voiding, a lot of foamy urine, and a strong odor in my urine (without hematuria) for the past few months. Sometimes, I feel a bit uncomfortable in my lower region, with a slight pressure pain (sometimes sharp...

Dr. Xu Weikai reply Urology
Dear Worried One: It's perfectly normal to be concerned about your health; it shows that you care about yourself. However, excessive worry can lead to unnecessary anxiety! A cholesteatoma is a type of normal gland that every healthy male has. I hope you understand my point! ...

Understanding Urinary Issues: Symptoms, Concerns, and What to Expect

Doctor, I've been experiencing some unusual changes with my urination lately. It feels like I have to exert more effort, and it's not as smooth as it used to be. I've also been urinating more frequently, and shortly after finishing, I feel the urge to go again. How...

Dr. Liu Jianting reply Urology
Is it that serious? You should see a urologist at the hospital to get a urine test done, and at the same time, discuss your concerns with the doctor.

Understanding Prostate Symptoms: Insights and Concerns for Young Men

Thank you, Dr. Hsu, for your response to my first question. I have concerns about my prostate due to the following main symptoms: 1. Frequent urination: I've had this since childhood. In August, during a diagnosis of hypertension, I underwent a "24-hour urine test,&qu...

Dr. Xu Weikai reply Urology
Ahan: Hello, benign prostatic hyperplasia or enlargement generally occurs after the age of 60. As for prostatitis, it can occur in any male. Regarding masturbation, Western medicine believes that as long as one is healthy, there is no need for special restrictions. Of course, Tra...

Understanding Prostate Issues: Symptoms, Diagnosis, and Treatment Options

Hello Doctor: A few weeks ago, I noticed urinary leakage after using the restroom, and since then, I have been experiencing increased urinary frequency. Each time I finish using the bathroom, there is still leakage, and even after some time has passed, I still feel something comi...

Dr. Xu Weikai reply Urology
Rex: Hello! 1. Prostate enlargement is unlikely. 2. It is advisable to drink more water regularly and not hold in urine. 3. You can go to the hospital for further examination. 4. The muscle enzyme level of 1.1 is still within the normal range. Additionally, prostate issues do not...