Urology Concerns: Symptoms, Testing, and Treatment - Urology

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Please help me with my questions, doctor?


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, there is a moist and slippery sensation on my foreskin.
Does this indicate that I might have a sexually transmitted infection (STI)?
Furthermore, I sometimes experience pain in the area near my testicles and anus.
What could this be? I have been quite worried about these issues lately, and I would appreciate your guidance.

Also, could you please let me know if your hospital offers STI testing? Is it covered by insurance, or do I need to pay out of pocket? 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 have been worried about the possibility of contracting HIV or another STI.

Thank you for your help,
Xiao Han

Xiao Zong, 20~29 year old female. Ask Date: 2004/10/31

Dr. Pan Zhenqin reply Urology


The beige small bumps on the foreskin (glans?) are likely pearly penile papules, which are a result of chronic inflammation of the foreskin and are harmless! The moist and slippery sensation of the foreskin may indicate that you have phimosis, which can lead to residual urine trapped between the foreskin and the glans.
As long as you maintain proper local hygiene, it is also harmless! Occasionally experiencing pain in the perineal area is not a concern if it does not happen frequently; just ensure you stay hydrated and avoid holding in urine.
Warm sitz baths can also be beneficial.
However, if the pain occurs frequently or worsens, it may be necessary to visit a urologist to determine if there is prostatitis or pelvic symptoms.
STD testing can generally be covered by health insurance.
Unless you are asymptomatic and simply requesting screening, and especially if you are asking for repeated tests, the physician may require you to pay out of pocket to avoid insurance denial.

Reply Date: 2004/10/31

More Info


Hello, thank you for reaching out with your concerns. It’s understandable to feel anxious about symptoms related to urology and potential sexually transmitted infections (STIs). Let’s break down your questions and concerns one by one.


1. Yellowish Bumps on the Penis
The yellowish bumps you’re describing could be a number of things. They might be 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. If they are accompanied by other symptoms such as pain, itching, or discharge, it would be wise to consult a healthcare provider for a proper diagnosis.


2. Moist and Slippery Foreskin
A moist and slippery sensation under the foreskin can be normal, especially if you are not circumcised. This moisture can be due to natural secretions or smegma, which is a combination of dead skin cells and oils. However, if there is an unusual odor, discharge, or irritation, it could indicate an infection or another condition that requires medical attention.


3. Pain Near the Testicles and Anus
Experiencing pain near the testicles or anus can be concerning. This pain could be related to a variety of issues, including infections, inflammation, or even referred pain from other areas. Conditions such as epididymitis (inflammation of the epididymis) or prostatitis (inflammation of the prostate) could be potential causes. It’s important to have this evaluated by a healthcare professional.


4. Concerns About STIs
Given your history of unprotected sexual intercourse, it’s wise to get tested for STIs, including HIV. Many STIs can be asymptomatic, so even if you do not have noticeable symptoms, it is still possible to be infected. Testing is crucial for your peace of mind and for the health of your sexual partners.


5. Testing and Insurance Coverage
Most hospitals and clinics offer STI testing, and whether it is covered by insurance can vary. In many cases, basic STI tests are covered by health insurance, but it’s best to check with your specific plan. If you are concerned about confidentiality or costs, many community health centers offer sliding scale fees or free testing.


6. Testing Results
The time it takes to receive test results can vary depending on the type of test performed. Some rapid tests can provide results within a few hours, while others may take a few days. It’s important to ask your healthcare provider about the expected timeframe for your specific tests.


Conclusion
Given your symptoms and concerns, I strongly recommend that you see a healthcare provider as soon as possible. They can perform a physical examination, order the necessary tests, and provide you with a proper diagnosis and treatment plan. Early intervention is key in managing any potential health issues, especially concerning STIs.
Remember, it’s important to communicate openly with your healthcare provider about all your symptoms and concerns. They are there to help you, and addressing these issues promptly can lead to better health outcomes. Take care, and don’t hesitate to seek medical attention.

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