Pain and Itching in the Penis: A Urology Perspective

It can be itchy and painful?

I would like to ask Dr.
Hsu...
There is a tubular structure on the ventral side of the penis.
During an erection, there is a pain in the middle of that structure, especially when the penis is lifted upwards, which causes more pain...
Additionally, there is a burning sensation during urination, followed by a slight itching feeling, with the itchy area located on the ventral side of the penis, just below the glans, about one to two centimeters in size.
I hope you can help me with this issue! Thank you, Dr.
Hsu.

Dai4shi4 de ren2, 20~29 year old female. Ask Date: 2005/06/10

Dr. Xu Weikai reply Urology

Hello, regarding the tube you mentioned, is it located in the midline of the ventral aspect of the penis? If it is in the center, it should be the urethra.
Pain during erection and urination suggests that infection is the most likely cause.
Additionally, there may have been a previous injury (including trauma or infection) that led to localized urethral fibrosis (scarring), which can cause pain during erection or urination.
My recommendations are as follows: 1.
Perform a urinalysis, and if necessary, include a bacterial culture.
2.
If an infection is suspected, antibiotics must be administered.
3.
If there is no infection, provide symptomatic treatment and apply appropriate local heat therapy.
Urology Department Chief, Hsu Wei-Kai, responding on behalf of Taitung Hospital, Ministry of Health and Welfare, is concerned for you.

Reply Date: 2005/06/10

More Info

Understanding pain and itching in the penis can be a complex issue, often requiring a thorough evaluation by a urologist. Based on your description, it seems you are experiencing localized pain along the ventral side of the penis, particularly during an erection and when manipulating the penis. Additionally, you mentioned experiencing a burning sensation during urination followed by itching in the area beneath the glans penis.

Potential Causes of Your Symptoms
1. Peyronie's Disease: The pain you feel along the shaft of the penis, especially during an erection, could be indicative of Peyronie's disease, which is characterized by the formation of fibrous scar tissue inside the penis. This condition can lead to curvature, pain, and difficulty during erections.

2. Urethritis: The burning sensation during urination and subsequent itching may suggest urethritis, which is inflammation of the urethra. This condition can be caused by infections, including sexually transmitted infections (STIs) such as gonorrhea or chlamydia, or non-infectious causes such as irritation from soaps or lotions.

3. Balanitis: Inflammation of the glans penis, known as balanitis, can also cause discomfort and itching. This condition is often due to poor hygiene, infections, or irritants.

4. Skin Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to itching and discomfort.
5. Allergic Reactions: Sometimes, an allergic reaction to products such as condoms, lubricants, or soaps can cause localized pain and itching.

Recommended Actions
1. Consult a Urologist: Given the symptoms you are experiencing, it is crucial to consult a urologist. They can perform a physical examination and possibly recommend tests such as urine analysis, swabs for STIs, or imaging studies if necessary.

2. Avoid Irritants: Until you can see a doctor, try to avoid any potential irritants. This includes scented soaps, lotions, or any products that may come into contact with the genital area.

3. Maintain Hygiene: Ensure that you maintain proper hygiene in the genital area. Gently clean the area with mild soap and water, and dry it thoroughly.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, changes in urination, or any new symptoms that may arise. This information will be helpful for your healthcare provider.

5. Avoid Sexual Activity: Until you have a clearer understanding of your condition, it may be wise to avoid sexual activity to prevent further irritation or injury.

Conclusion
Pain and itching in the penis can stem from various causes, ranging from infections to structural issues. It is essential to seek medical attention to obtain an accurate diagnosis and appropriate treatment. Early intervention can help alleviate symptoms and prevent potential complications. Remember, discussing these symptoms with a healthcare professional can provide you with the best course of action tailored to your specific situation.

Similar Q&A

Understanding Urology: Causes of Pain and Burning Sensation in Men

The penis may develop irritation, which can worsen with scratching. There may be a burning sensation and slight pain during urination.

Dr. Liu Jianting reply Urology
Itching? Is it inside the urethra or on the external skin? If you experience discomfort while urinating, it may be a urinary tract infection. Please visit a hospital and consult a urologist for a thorough examination.

Understanding Itching from Genitals to Anus: Causes and When to Seek Help

There is intense itching from the penis to the anus, but there are no visible lesions and no difficulty urinating. However, there is significant itching, and there is a slight stinging sensation around the urethral opening and anus. Could this be a sexually transmitted infection?...

Dr. Wu Yuxin reply Dermatology
Dermatology

Understanding Itchy Discomfort in the Penis: Causes and Solutions

There is a tingling sensation in the penis! It doesn't hurt, but it feels itchy! It seems to be a tingling sensation inside the shaft of the penis! There is a slight itch when masturbating or urinating! There has been no risky sexual behavior, but the cause is unknown!

Dr. Fu Shizhang reply Urology
It could be urethritis or balanitis; it is recommended to visit a hospital for examination.

Understanding Pain in the Glans and Prostate: Causes and Solutions

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...

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.