Pain Near the Penis: Causes and When to See a Doctor - Urology

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There is some pain in the bone next to the penis?


Hello doctor, recently after DIY, I felt the urge to ejaculate but held back.
As a result, for the past 2-3 days, I've experienced a slight pain between my pelvis and thighs, which is only noticeable when touched.
I don't feel any pain while walking or urinating.
Could this be inflammation of the vas deferens? Do I need to see a doctor, or will it resolve on its own?

Jia, 20~29 year old female. Ask Date: 2011/09/19

Dr. Xu Weikai reply Urology


Hello, there are several possible reasons: muscle nerve soreness, inflammation, infection, and other conditions that require examination to determine.
If an examination is not convenient, you can apply local heat after an erection to increase local circulation, which may alleviate muscle and nerve soreness.
If there are any unclear points, feel free to ask again, and we can further discuss and research the issue together.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan, Taiwan.

Reply Date: 2011/09/19

More Info


Experiencing pain in the pelvic area, particularly near the penis, can be concerning and may arise from various causes. Given your description of the symptoms following a DIY activity that involved a sensation of ejaculation but without actual ejaculation, it is essential to consider several potential explanations for your discomfort.


Possible Causes of Pain Near the Penis
1. Muscle Strain: Engaging in physical activities, especially those that involve straining or unusual positions, can lead to muscle strain in the pelvic region. This might cause localized pain that is felt when touching the area or during certain movements.

2. Prostatitis: Inflammation of the prostate gland, known as prostatitis, can cause pain in the pelvic area, including discomfort near the penis. Symptoms may include pain during urination, discomfort in the lower abdomen, or pain during ejaculation.

3. Epididymitis: This condition involves inflammation of the epididymis, the tube that carries sperm from the testicles. It can cause pain in the scrotum and pelvic area, and may be associated with swelling or tenderness.

4. Nerve Irritation: Sometimes, nerve irritation or compression in the pelvic area can lead to pain that may not be directly related to the reproductive organs but can still cause discomfort in the vicinity.

5. Infection: Infections in the urinary tract or sexually transmitted infections (STIs) can also lead to pain in the pelvic region. Symptoms may vary but can include pain during urination, unusual discharge, or fever.

6. Hernia: Inguinal hernias can cause pain in the groin area and may become more noticeable during physical activity or straining.


When to See a Doctor
While mild discomfort may resolve on its own, there are specific situations where it is advisable to seek medical attention:
- Persistent Pain: If the pain persists for more than a few days or worsens over time, it is essential to consult a healthcare professional.


- Additional Symptoms: If you experience other symptoms such as fever, chills, pain during urination, blood in urine, or unusual discharge, these could indicate a more serious condition that requires immediate medical evaluation.

- Impact on Daily Life: If the pain interferes with your daily activities, including walking or urination, it is a sign that you should seek medical advice.


Conclusion
In summary, while your symptoms may be due to a benign cause such as muscle strain, it is crucial to monitor your condition. If the pain does not improve or if you develop additional symptoms, it is advisable to see a healthcare provider. They can perform a thorough examination, possibly including imaging or laboratory tests, to determine the underlying cause of your discomfort and recommend appropriate treatment. Taking proactive steps in addressing your symptoms can help ensure your health and well-being.

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