Mild Pain and Numbness in the Penis and Testicles - Urology

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Touching the penis may cause slight pain?


Hello, doctor.
I have noticed a slight pain or tingling sensation at the junction of the left side of the base of my penis and the testicle when I touch that area while not erect.
This discomfort does not occur every time I touch it; it only happens at certain angles or directions.
When I touch it during an erection, the sensation seems less pronounced.
I usually do not experience any issues unless I touch that specific point.
I am unsure when this started, but I only discovered it last week, and the phenomenon persists.
Could you please advise me on what might be causing this issue? Thank you, doctor.

Xiao P, 20~29 year old female. Ask Date: 2015/07/19

Dr. Fu Shizhang reply Urology


It may be a localized inflammatory response.
If symptoms persist, it is recommended to visit an outpatient clinic.

Reply Date: 2015/07/19

More Info


Understanding mild pain and numbness in the penis and testicles can be concerning, and it’s important to approach this issue with a comprehensive understanding of potential causes and implications. Based on your description, the pain and numbness you experience in the left side of the penis and the junction with the testicles seem to be intermittent and position-dependent, which can provide some clues to the underlying issue.


Possible Causes
1. Nerve Compression or Irritation: The genital area is richly supplied with nerves, and any compression or irritation of these nerves can lead to sensations of pain or numbness. This could be due to prolonged sitting, tight clothing, or even certain positions during sleep that might compress the nerves.

2. Muscle Tension or Strain: The pelvic floor muscles can become tense or strained, leading to discomfort in the genital region. This is often exacerbated by stress or prolonged periods of inactivity.

3. Inguinal Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause localized pain and discomfort, particularly when pressure is applied to the area.

4. Referred Pain: Sometimes, pain in the genital region can be referred from other areas, such as the lower back or hips. Conditions like sciatica or lumbar disc issues can manifest as pain in the groin or genital area.

5. Infection or Inflammation: Conditions such as epididymitis (inflammation of the epididymis) or orchitis (inflammation of the testicles) can cause pain and discomfort. These conditions are often accompanied by other symptoms such as swelling or redness.

6. Vascular Issues: Problems with blood flow, such as varicoceles (enlarged veins within the scrotum), can lead to discomfort and a feeling of heaviness or pain in the testicular area.


When to Seek Medical Attention
While mild pain and numbness may not always indicate a serious condition, it is essential to monitor your symptoms. You should seek medical attention if you experience any of the following:
- Persistent or worsening pain
- Swelling or changes in the appearance of the testicles or penis
- Pain accompanied by fever or other systemic symptoms
- Changes in urination or sexual function

Diagnostic Approach
If you decide to consult a healthcare provider, they may perform a physical examination and possibly recommend imaging studies (like an ultrasound) to assess for any structural issues. Blood tests may also be conducted to rule out infections or other underlying conditions.


Conclusion
In summary, the mild pain and numbness you are experiencing in the penis and testicles could stem from various causes, including nerve compression, muscle strain, or even vascular issues. It’s crucial to pay attention to your body and seek medical advice if the symptoms persist or worsen. Early intervention can help address any underlying issues and alleviate discomfort. Remember, open communication with your healthcare provider about your symptoms is key to finding an effective solution.

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