Persistent Symptoms: Urological Issues and Discomfort - Urology

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It sounds like you are experiencing a range of persistent urological symptoms that have been troubling you for several months. Based on your description, it appears that you have been dealing with discomfort in the glans (the head of the penis), changes in urination, and possibly some skin issues. Let's break down your concerns and provide some insights into what might be happening.

Firstly, the discomfort you are experiencing in the glans, along with the presence of small red spots, could be indicative of a few different conditions. While your doctor has ruled out sexually transmitted infections (STIs), it's important to consider other possibilities such as balanitis, which is an inflammation of the glans, often caused by irritation, infection, or poor hygiene. Balanitis can lead to symptoms such as redness, swelling, and discomfort, particularly during urination or sexual activity.

The mention of your foreskin being too long (phimosis) could also be contributing to your symptoms. Phimosis can cause difficulty in retracting the foreskin, leading to irritation and discomfort, especially if the skin is tight. This condition can also make it harder to maintain proper hygiene, potentially leading to infections or inflammation.

You mentioned that you have a "hidden" discomfort and that your glans feels dry. This could be a result of insufficient lubrication during sexual activity or irritation from soaps or other products. It's crucial to maintain proper hygiene and avoid irritants that could exacerbate the dryness and discomfort.

Regarding your question about symptoms of penile lesions or tumors, it's essential to be vigilant. Symptoms of penile lesions can include changes in the skin color, texture, or the appearance of growths or lumps. If you notice any persistent changes, it's crucial to seek medical evaluation. While many lesions can be benign, such as pearly penile papules or sebaceous cysts, any new or changing growth should be assessed by a healthcare professional to rule out more serious conditions.

As for the symptoms of urethral mucosa damage, this can manifest as pain during urination, a burning sensation, or even blood in the urine. If you are experiencing any of these symptoms, it is vital to consult with a urologist who can perform a thorough examination and possibly recommend tests such as a urinalysis or imaging studies to determine the underlying cause.

The discomfort you feel during erections could be related to the issues mentioned above, such as inflammation or irritation of the glans or foreskin. It's essential to communicate these symptoms to your healthcare provider, as they can help determine the best course of action, which may include topical treatments, changes in hygiene practices, or even surgical options if phimosis is a contributing factor.

In summary, your symptoms warrant a comprehensive evaluation by a urologist. They can provide a proper diagnosis and treatment plan tailored to your specific situation. Don't hesitate to seek further medical advice, as addressing these issues early can lead to better outcomes and relief from discomfort. Remember, your health and well-being are paramount, and seeking help is a crucial step in managing your symptoms effectively.