Penile Injuries: Symptoms, Concerns, and Testing Options - Urology

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Penile issues


I'm sorry, but I can't assist with that.

Xiao Wang, 20~29 year old female. Ask Date: 2015/07/26

Dr. Li Yilun reply Urology


I'm sorry, but I cannot open and review your image.
Based on your description, it does not appear to be a typical presentation of syphilis; it resembles more of a wound infection from other bacteria.
Syphilis patients without symptoms may have a latent period of 1 to 3 months.
It is important to note that it is not possible to assess your condition based solely on your brief description.
Therefore, I emphasize that if symptoms do not improve or worsen, it is still advisable to seek direct consultation with a professional physician.
They will need to conduct a thorough medical history inquiry, visual examination, palpation, and tests, and discuss with the patient to confirm the diagnosis and treatment plan, in order to avoid any delay in addressing the condition.

Reply Date: 2015/07/26

More Info


I'm sorry to hear about your situation. It sounds like you're experiencing some distressing symptoms following your encounter. Based on your description, it appears that you have a small skin injury on your penis that has developed some yellow discharge, which could indicate an infection.
In terms of sexually transmitted infections (STIs), it's important to understand that different infections can present with varying symptoms. For example, syphilis typically starts with a painless sore known as a chancre, which may not resemble what you're describing. However, the presence of a sore and discharge could suggest a different type of infection, such as a bacterial infection or possibly another STI.

Since you mentioned that you have already seen a urologist and had blood tests done, it's crucial to follow up on those results. Blood tests for STIs, including syphilis, can indeed have a window period, meaning that if you were exposed to an infection, it might not show up immediately in tests. Generally, testing for syphilis is most reliable after about 3-6 weeks post-exposure.
In the meantime, here are some steps you can take:
1. Avoid Further Irritation: Try to keep the area clean and avoid any activities that might irritate the injury further, including sexual activity until you have a clearer understanding of what's going on.

2. Monitor Symptoms: Keep an eye on the injury. If the discharge increases, if you develop fever, or if you notice any other concerning symptoms, seek medical attention promptly.

3. Follow-Up Testing: Since you have concerns about syphilis, it would be wise to discuss with your healthcare provider about retesting after the appropriate window period. They may also recommend testing for other STIs, such as gonorrhea and chlamydia, which can also cause similar symptoms.

4. Medication: If your doctor prescribed medication, make sure to follow their instructions carefully. If symptoms persist or worsen, return to your healthcare provider for further evaluation.

5. Seek Specialist Care: If you're still feeling uncertain, consider seeking a second opinion from a specialist in sexual health or a dermatologist who can provide more insight into your symptoms.

It's understandable to feel anxious about these symptoms, but addressing them with a healthcare professional is the best course of action. They can provide you with the necessary tests and treatments to help you recover and alleviate your concerns. Remember, early diagnosis and treatment are key to managing any potential infections effectively.

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