Pain in the Glans: When to Seek Medical Attention - Urology

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Pain in the glans penis?


Hello doctor, I have recently been experiencing pain on the glans of my left side when touched or when walking, as it gets rubbed by my underwear.
Sometimes, I also feel a sharp pain in the area of the foreskin or urethral opening (similar to the sting of a wound coming into contact with water).
This sharp pain lasts for a moment and then goes away.
I have been applying Mycomb Cream for the past two to three days.
Should I seek further medical attention or observe for a few more days? Thank you.

dada, 30~39 year old female. Ask Date: 2015/05/07

Dr. Li Xinyi reply Urology


It sounds like neuropathic pain or a potential outbreak of shingles.
Applying Mycomb Cream may not be effective.
It would be advisable to observe the situation for a few more days.
Make sure to drink plenty of water, aiming for a daily intake that results in approximately 1800cc of urine output.

Reply Date: 2015/05/07

More Info


When experiencing pain in the glans, particularly if it is sudden and localized, it is essential to assess the situation carefully. The symptoms you describe, including pain upon touch or movement, as well as intermittent sharp pain in the area of the foreskin or urethral opening, can be indicative of several underlying conditions.
Firstly, it is important to consider the potential causes of your symptoms. Pain in the glans can arise from various factors, including:
1. Infection: Conditions such as balanitis (inflammation of the glans) or urethritis (inflammation of the urethra) can cause pain and discomfort. These infections may be due to bacterial, fungal, or sexually transmitted pathogens.

2. Irritation: Friction from clothing, particularly tight or rough fabrics, can lead to irritation of the sensitive skin in the genital area. This can result in localized pain and discomfort.

3. Dermatological Conditions: Skin conditions such as eczema or psoriasis can also affect the genital area, leading to pain, itching, and discomfort.

4. Trauma: Any recent injury or trauma to the area, even if minor, can cause pain. This includes activities that may have led to friction or pressure on the glans.

5. Allergic Reactions: Sometimes, reactions to soaps, lotions, or other topical products can cause irritation and pain.

Given that you have been applying Mycomb Cream, which typically contains a combination of antifungal and anti-inflammatory agents, it suggests that your doctor may have suspected a fungal infection or inflammation. If you have not noticed any improvement after a few days of treatment, or if your symptoms worsen, it may be prudent to seek further medical evaluation.


When to Seek Medical Attention
You should consider seeking medical attention if you experience any of the following:
- Persistent Pain: If the pain does not subside or worsens over the next few days.

- Swelling or Redness: Increased swelling, redness, or warmth in the area could indicate an infection that requires treatment.

- Discharge: Any unusual discharge from the urethra or glans should be evaluated by a healthcare professional.

- Fever or Systemic Symptoms: If you develop a fever or other systemic symptoms, this could indicate a more serious infection.

- Changes in Urination: Difficulty urinating, increased frequency, or pain during urination should be assessed.


Conclusion
In summary, while it may be reasonable to observe your symptoms for a short period, it is crucial to remain vigilant. If your symptoms persist or worsen, or if you develop any additional concerning signs, do not hesitate to seek medical attention. A healthcare provider can perform a thorough examination, possibly including laboratory tests, to determine the underlying cause of your pain and recommend appropriate treatment. Remember, early intervention can often lead to better outcomes, especially in cases of infection or other treatable conditions.

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