10 Causes of Penile Pain – Ouch! Pain in the Penis

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For men, the penis is one of the most, if not the most important organ. So if there are any signs of pain or discomfort, it usually causes a lot of worry and anxiety. However, pain in the penis can be due to many different conditions. Some are harmless, others may need immediate treatment.
So I have listed below some of the common causes of penile pain so that you can know when you need to rush to see the doctor or only come in the following Monday.

Top 10 Causes of Pain in the Penis:

Penile Infections

 1) Balanitis

Balanitis refers to inflammation of the foreskin which can be caused by fungal or bacterial infections, and irritants such as soaps, powders or creams that are applied over the foreskin. People that have diseases which compromise the immune system, such as Diabetes and HIV, may be more prone to this condition.
The pain caused by the inflammation is usually not severe but it can be throbbing, itchy and rather uncomfortable. This can be easily treated by treating the cause or avoiding the irritant.
See: Treatment for Penile Infection

2) Herpes

Herpes is one of the most common Sexually Transmitted Diseases STDs. This infection is transmitted through skin to skin contact and is usually caused by 2 different viruses called HSV 1 and HSV 2, which are usually known to cause lesions in the mouth and genital areas respectively. However, during oral sex, the virus can be passed on from the mouth to the penis causing genital herpes.
They usually present with painful blisters or ulcers over the skin and can be painful or at least very sensitive to touch. It can be treated with anti-viral tablets although it will keep recurring throughout a person’s life.
See: Everything You Need to Know about Herpes Simplex Virus

3) Chancroid

Chancroid is caused by a bacteria called Haemophilus Ducreyi and is transmitted through sexual intercourse. It commonly presents with a single large painful ulcer on the penis along with enlarged and tender lymph nodes in the groin region.
Chancroid is an infection that is usually caught via sexual contact. This can be treated with antibiotics once the diagnosis is established by your doctor.
See: The causes of Genital Blister and Ulcers

4) Urethritis

This is an infection of the urinary tract along the penis, through which the urine is passed out from the bladder. When an infection occurs along this tract it results in pain when urinating or discharges from the tip of the penis. Sometimes even when not urinating, one can feel the pain along the urethra itself.
Urethritis can be caused by Chlamydia, Gonorrhea, NSU or Herpes which are very common infections that can be transmitted through sexual intercourse. A simple urine test and sometimes a urethral swab can be performed to found out the exact cause and in most cases, it is easily cured with antibiotics.
See:  What are the causes of Abnormal Penile Discharge

5) Prostate Infections

When the prostate is involved during a urinary tract infection it can cause severe pain during urination and sometimes fever and shivering. This sometimes is difficult to diagnose and may involve the doctor placing a finger up the anus to feel for any tenderness in the prostate gland. Moreover, it usually requires a longer course of antibiotics.
See: The Causes, Testing and Treatment of Prostatitis (Prostate Inflammation)  

Trauma to the Penis

6) Penis Fracture

The penis is made out of erectile tissues and blood vessels. Although there is no bone in the penis, during an erection it can be as hard as bone. The term penis fracture is used when there is an injury to the erectile tissue inside the penis. It usually happens during sexual intercourse when the penis accidentally fully or partially slips out of the partner and the partner sits back down on the penis which injures it.
This will result in a sudden onset of pain and in certain cause you may even hear a snapping sound. When this occurs you should go to the emergency department immediately because it is a medical emergency.

7) Torn Frenulum

The frenulum is a thin strip of skin connecting the head of the penis to the foreskin. This can break during intercourse, especially when it’s rough, and result in pain and a lot of bleeding. The pain can last up to a few days as the frenulum heals. The healing time varies and it may get repeatedly injured during subsequent intercourse. When it started to occur more frequently, a simple surgical procedure may be done to fix the frenulum.
Frenulum breve, or short frenulum, is a condition in which the frenulum of the penis is too short and thus restricts the movement of the foreskin.
See: Frenulum Breve Treatment or Penile Frenulectomy

Others Medical Condiction that Causes of Penile Pain

8) Peyronie’s Disease

Is your penis bent during an erection? At the point where it is bent, can you feel a painful lump?
If it is yes to both questions, you may have Peyronie’s Disease. This happens when a spot along the penis shaft becomes inflamed and as it heals, it leads to contraction of one side of the penis causing it to bend. The pain may arise from the area of inflammation or in certain cases when the curvature is so severe, it causes pain during sexual intercourse.
Please see a doctor if you think you have Peyronie’s disease, and once the diagnosis is established the doctor may suggest several treatment options ranging from shock wave therapy to surgery.

9) Paraphimosis

This is a condition where the foreskin is completely retracted to expose the head of the penis and cannot be pulled forward to cover the head of the penis again. When the foreskin get inflamed and forms a band around the penis, it may affect the blood flow to the tip of the penis and usually causes severe pain.
This is a medical emergency and patients with this issue should see a doctor immediately. Most of the time, the doctor can use special techniques to pull the foreskin back into place.
Learn more about Paraphimosis.

10) Chronic Pelvic Pain Syndrome

This is a condition where there are non-specific symptoms in the groin area including pain in the penis, testicles or even lower back pain. This is due to inflammation either in the prostate or any of the organs in the groin area.
Read more about CPPS here.
Next time you feel pain or discomfort, do consider the possible.
If you wish to speak to our doctor about penile pain, please visit our DTAP Clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.sg.
Take Care!

Also, Read:

  1. Things to do to maintain your penis health
  2. 11 Causes of Penile Itching & Pubic Itch
  3. 10 Ways to Improve Sexual Performance for Men
  4. An Overview of STD by an STD Doctor
  5. Anal Warts! What You Need To Know
  6. Weak Erection: Does Size Matters?
  7. Sexual Health Advice for Travellers 
  8. What you need to Know about Erectile Dysfunction 
  9. What You Need to Know about Premature Ejaculation Treatment
  10. What you need to know about Testosterone Deficiency Syndrome
  11. What is HIV / AIDS Signs and Symptoms

 

Paraphimosis – My Foreskin Is Stuck

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What is Paraphimosis?

It is when the foreskin gets stuck behind the head of the penis. This condition only happens in men who are uncircumcised. Usually, the foreskin automatically gets pulled back during sexual intercourse or masturbation.

Most of the time, the foreskin goes back to its original position and that is fine. However, the problem comes when the foreskin gets stuck behind the head of the penis and is unable to move back to its original position.

Paraphimosis can happen during :
1.) Masturbation
2.) Vigorous sexual activity
3.) Penile piercing
4.) Urinary catheterisation (a tube inserted into the bladder)
5.) Or any other reason that the foreskin is pulled back to expose the head of the penis

What is Cause of Paraphimosis?

During erection, the penis becomes bigger than when it’s flaccid. So sometimes when the foreskin is rolled back in this state, it gets stuck as the penis is now bigger than it usually is and the foreskin is now too tight to be rolled back to the front.
Paraphimosis occurs when the foreskin is retracted behind the crown (corona) of the penis and can’t be returned to the unretracted position.
This, in turn, creates a vicious cycle or events. When stuck, the foreskin below the head gets swollen because it’s too tight.
Due to the swelling, there is increasing pressure on the erect penis. This will cause more tightening on the foreskin. When the pressure continues to build up below the head, this increases the pressure of the foreskin over the penis and this may lead to strangulation and entrapment of the penis. It will then prevent the blood from the erect penis to drain thus it cannot become flaccid. If this situation continues, it may cause necrosis which is the death of the penile tissue.

Symptoms of Paraphimosis:

If you have these symptoms below, it could indicate that your condition is getting serious and you should seek medical attention as soon as possible:
1.) Pain and swelling of the glans penis
2.) Inability to retract the foreskin back over to the penile glans.
3.) Discolouration, either dark red or bluish colour of the penis
The symptoms of phimosis and paraphimosis may look like other problems or medical conditions.
If your foreskin is stuck behind the head of the penis, please see a doctor as soon as you can. It is an emergency!

 

Paraphimosis is a urological emergency.
If you are suffering from paraphimosis, see a doctor as soon as you can.
So, you should always see your doctor for a diagnosis.

How to diagnose Paraphimosis?

What is the Treatment for Paraphimosis?

 

A careful physical exam by your doctor normally gives enough information to make a diagnosis. The vast majority of paraphimosis can be easily treated in a clinic by an experienced doctor. Our Doctor has treated multiple cases of paraphimosis in our clinics. A skilled doctor will be able to reduce the swelling and pull the foreskin back to its natural position. Very often, the only anaesthesia needed is a bit of ice on the foreskin to numb it.

Once the foreskin is put back in its original position covering the head of the penis, everything goes back to normal. Any swelling or pain fades extremely quickly. If the problem keeps recurring, the patient should consider undergoing a circumcision to prevent the problem from coming back. The reason why paraphimosis is an emergency is-if there is a failure to reduce the paraphimosis will result in necrosis
(death of tissue) of the glans!

If you wish to speak to our doctor about paraphimosis, please visit our DTAP Clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.sg

Take Care!

 

Also, Read:

  1. Things to do to maintain your penis health
  2. 10 Ways to Improve Sexual Performance for Men
  3. An Overview of STD by an STD Doctor
  4. Sexual Health Advice for Travellers 
  5. What you need to Know about Erectile Dysfunction 
  6. What You Need to Know about Premature Ejaculation Treatment
  7. What you need to know about Testosterone Deficiency Syndrome
  8. What is HIV / AIDS Signs and Symptoms