Managing Penile Pain: Treatment Options and Expert Advice - Urology

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Managing penile pain can be a complex issue, often requiring a thorough understanding of the underlying causes and appropriate treatment options. Based on your description, it seems you are experiencing discomfort in the area of the frenulum and urethral opening, particularly during urination. Here are some insights and recommendations regarding your situation.


Understanding the Symptoms
The symptoms you describe, including swelling and pain at the frenulum and urethral opening, could be indicative of several conditions, such as:
1. Urethritis: Inflammation of the urethra, often caused by infections, which can lead to pain during urination.

2. Balanitis: Inflammation of the glans (the head of the penis), which can occur due to infections, irritants, or poor hygiene.

3. Frenulum Breve: A condition where the frenulum is too short, which can cause pain during erections or sexual activity.

4. Allergic Reactions or Irritation: Sometimes, topical products or soaps can cause irritation leading to discomfort.


Treatment Options
1. Topical Treatments:
- You mentioned using "利膚軟膏" (likely a topical steroid or anti-inflammatory) with limited improvement. Switching to "NEOMYCIN," which is an antibiotic ointment, may help if there is a bacterial infection present. However, it’s essential to use antibiotics judiciously to avoid resistance.

- Continue using NEOMYCIN as long as you see improvement, but monitor for any signs of allergic reaction or worsening symptoms.

2. Hygiene Practices:
- Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that could irritate the skin.

- Ensure the area is dry after washing, as moisture can promote bacterial growth.

3. Avoid Irritants:
- Refrain from using scented lotions, soaps, or other products that may irritate the genital area.

4. Pain Management:
- Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Ensure you follow the recommended dosages.

5. Consultation with a Specialist:
- Since you are planning to check for urinary stones, it would also be beneficial to discuss your symptoms with a urologist. They can perform a thorough examination and may recommend further tests, such as urine analysis or imaging studies, to identify any underlying issues.

6. Follow-Up:
- If symptoms persist despite treatment, or if you experience increased pain, fever, or any unusual discharge, seek medical attention promptly. Persistent symptoms may require more aggressive treatment or further investigation.


Conclusion
In summary, while topical treatments like NEOMYCIN may provide relief, it is crucial to monitor your symptoms and maintain good hygiene practices. Consulting with a healthcare professional, particularly a urologist, will provide you with tailored advice and treatment options based on a comprehensive evaluation of your condition. Remember, early intervention can prevent complications and lead to better outcomes. If you have any further questions or concerns, feel free to reach out for more guidance.