Pain in the Glans: A Urology Perspective

Q: Pain in the Glans: A Urology Perspective

Ah Hong： Hello, you can perform a bacterial culture. <br>If there is no infection, you can proceed directly with a ureteroscopy. <br>If there are any unclear points, feel free to ask again, and we can discuss and research further. <br>Answers from the internet should only be used

I have pain in my glans?

Doctor, I apologize for asking again.
During my follow-up visit at the Cheng Ching Hospital, the doctor informed me that there is some swelling at the junction of the left kidney and the bladder, which is located in the mid-ureter, but it could not be visualized on the ultrasound.
The doctor advised me to return in three weeks to see if any stones pass and resolve the issue.
However, he also mentioned that some people are born with that area appearing this way.
For the past few days, I have been experiencing pain on the glans in the morning and afternoon, which improves somewhat in the evening.
It is not urethral pain.
He prescribed antibiotics for a bacterial infection, but I haven't taken them since the prostate infection has not been confirmed, so I wonder what the purpose is of taking them.
I really wish the doctor would use a ureteroscope to investigate directly, as two years ago, X-rays and contrast media did not show anything in the right kidney; only the ultrasound revealed that it was removed.
If I undergo another contrast study, it might harm my kidneys again.
My health is already poor.
If the pain persists, should I first consider a cystoscopy or bacterial culture?

A-Hong, 30~39 year old female. Ask Date: 2011/12/04

Dr. Xu Weikai reply Urology

Ah Hong: Hello, you can perform a bacterial culture.
If there is no infection, you can proceed directly with a ureteroscopy.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan, who cares about you.

Reply Date: 2011/12/04

More Info

Understanding pain in the glans, particularly in the context of urological issues, can be complex and multifaceted. The glans penis, or the head of the penis, is a sensitive area rich in nerve endings, making it susceptible to various forms of discomfort and pain. In your case, the pain you are experiencing could be related to several underlying conditions, including urinary tract issues, infections, or anatomical variations.

From your description, it seems that you have been experiencing persistent pain in the glans, which is not associated with urethral pain. This distinction is important because it suggests that the source of your discomfort may not be directly related to the urinary tract infection (UTI) or prostatitis, which typically presents with urethral pain. Instead, the pain could be due to irritation or inflammation of the glans itself, possibly exacerbated by the swelling noted in the area where the ureter connects to the bladder.

The swelling in the ureter, as mentioned by your doctor, could potentially lead to urinary obstruction, which may cause back pressure and discomfort in the kidneys and bladder. If there is a stone present, it could also contribute to pain in the glans due to referred pain pathways. Referred pain occurs when pain is perceived in a location different from its source, which is common in urological conditions.

Regarding your concerns about diagnostic procedures, such as ureteroscopy or cystoscopy, it is understandable to be apprehensive about the potential risks, especially if you have a history of kidney issues. Ureteroscopy allows direct visualization of the ureter and can help identify stones or other abnormalities, while cystoscopy provides a view of the bladder and urethra. Both procedures can be performed under anesthesia and are generally safe, but they do carry some risks, including infection or injury to the urinary tract.

If your doctor has suggested waiting for three weeks to see if the swelling resolves or if a stone passes, it may be a reasonable approach, particularly if you are not experiencing severe symptoms. However, if the pain persists or worsens, it is crucial to communicate this to your healthcare provider. Persistent pain may warrant further investigation, including imaging studies or direct visualization procedures, to rule out any serious underlying conditions.

In terms of bacterial cultures, if your doctor suspects a bacterial infection, it is essential to complete the prescribed antibiotics, even if the exact cause of your pain is not yet determined. This is because untreated infections can lead to more severe complications, including abscess formation or systemic infection.

In summary, understanding the pain in the glans requires a comprehensive evaluation of your symptoms, medical history, and potential underlying conditions. If the pain continues or if you have concerns about your current treatment plan, do not hesitate to seek a second opinion or request further diagnostic testing. Your comfort and health are paramount, and it is essential to address any ongoing issues with your urologist.

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