Penile Pain: Causes and Solutions for Students - Urology

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Penile pain


Hello, doctor.
For the past few days, I have been experiencing abnormal pain in my penis during urination, and even at rest, there is a sharp pain.
This symptom has caused me a lot of inconvenience, especially at night, where the pain has woken me up multiple times, affecting my sleep quality.
I often have to wake up in the middle of the night to go to the bathroom.
I have never experienced these issues before.
I am a university student who just arrived in Taiwan at the beginning of September.
Initially, I thought it might be due to the recent cooler weather and that I was underdressed, which could have caused frostbite, but this symptom has persisted for several days, causing me great concern.
I have no sexual experience, and although I used to masturbate quite frequently (about once every one or two days), I have significantly reduced that due to changes in my daily routine, and I am almost not doing it at all now.
There doesn't seem to be anything unusual with my penis.
I kindly request your prompt response to help resolve the issue that has been troubling me for several days.
Thank you.

Wu Mian~, 10~19 year old female. Ask Date: 2010/10/30

Dr. Xu Weikai reply Urology


Insomnia: It is possible that 1.
Poor circulation is causing neuropathic pain; applying a warm towel to the penis during pain episodes may help alleviate the discomfort.
2.
Urinary stones, which could be located in the ureters or other areas, need further examination for confirmation.
3.
Other factors, such as stress, may also contribute.
If there are any unclear points, feel free to ask again for further discussion and research.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/10/30

More Info


Penile pain can be a distressing condition, especially for a student who is trying to focus on studies while dealing with discomfort. Based on your description, it seems you are experiencing pain during urination and a persistent sharp pain even when not urinating. This can significantly affect your quality of life, including sleep disturbances and anxiety about the condition.

There are several potential causes for penile pain, and understanding these can help in determining the appropriate course of action. Here are some common causes:
1. Urinary Tract Infection (UTI): UTIs can cause pain during urination, and they are more common in individuals who are sexually active, but they can occur in anyone. Symptoms may include a burning sensation during urination, frequent urges to urinate, and sometimes lower abdominal pain.

2. Sexually Transmitted Infections (STIs): Even if you have not had sexual experiences, STIs can still be a concern. Some infections can be asymptomatic initially, and symptoms may develop later. Common STIs that can cause penile pain include chlamydia and gonorrhea.

3. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, which can cause pain and curvature during erections. It is less common but can occur in younger men.

4. Trauma or Injury: If there has been any recent trauma to the area, even minor, it could lead to pain. This includes activities that may have caused strain or injury.

5. Skin Conditions: Conditions such as balanitis (inflammation of the glans) or other dermatological issues can cause discomfort and pain in the penile area.

6. Nerve Irritation: Sometimes, nerve irritation or entrapment can lead to pain. This can be due to posture, prolonged sitting, or other mechanical factors.

Given the duration and nature of your symptoms, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination, which may include a physical exam, urinalysis, and possibly other tests to rule out infections or other underlying conditions.
In the meantime, here are some general recommendations to help alleviate discomfort:
- Stay Hydrated: Drinking plenty of water can help flush out any potential irritants from your urinary tract.

- Avoid Irritants: Refrain from using harsh soaps or lotions on the genital area, as these can exacerbate irritation.

- Wear Loose Clothing: Opt for breathable, loose-fitting underwear and pants to reduce friction and irritation.

- Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain, but consult with a pharmacist or healthcare provider to ensure they are appropriate for your situation.

While it may be tempting to self-diagnose or treat, the best course of action is to consult a healthcare professional who can provide a proper diagnosis and treatment plan tailored to your needs. Early intervention can prevent complications and help you return to your studies and daily activities without discomfort.

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