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| MY HUSBAND HAS PAIN IN THE PENIS |
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My significant other has been experiencing penal pain just below the mushroom (head) of his penis, since late November, early December 2007. He's been to the urologist on two different occassions, and each time have been put on antibiotics. His prostate isn't inflamed or swollen. The antibiotics haven't worked, and the pain continues. He states at times, if he awakens during the night, with a semi erection, the discomfort is almost to the point of being severe. Could you please let us know what is going on, and why the antibiotics, were prescribed when there is no infection. His UA results are within the normal range. He's also had a PSA done, which came back in the normal range. Before these symptoms arose, we have had a very loving and healthy sexual relationship. I understand men go through some sort of change, but as a female it appears the onset had been drastic and it appears to us, the urologist isn't sure of what's going on, unwilling to perform other test or make suggestions. Each time he goes in, it's like grasping at straws to try a different antibiotic.
LKN, 54 yrs, Idaho
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| REPLY |
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LKN,
There are various causes for penile pain. The commonest of these is infections - either due to nonspecific non-sexually transmitted organisms or due to sexually transmitted diseases like herpes, chlamydia and syphilis. A urine analysis alone will not be able to rule out these infections. Your husband needs a swab taken from the tip of the penis, as well as prostatic fluid obtained by milking the prostate ( the prostate is massaged by putting a finger in the rectum and the fluid expressed from the penis collected).
Other causes of penile pain are a stone in the urethra, a growth, an injury and a condition called Peyronies disease. This is a condition in which plaques form in the tissues of the penis causing pain when it is erect.
You need to ask your urologist for more tests like penile swabs and ultrasound of the penis for plaques in the blood vessels.
I hope this helps.
Please feel free to ask a follow-up question if you wish to know more.
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| FOLLOW-UP |
| This has been an extremely difficult time in our lives. Last month, when he went in for a follow up with the urologist, I had suggested that the possible diagnosis was Peyronies disease, in which the urologist stated it wasn't. He had another follow up appt this past Friday, and now he comes back with the same diagnosis I suspected last month. Now the urologist suggests he takes 400 mg of Vitamin E twice a day, with a follow up in 6 mos. I'm extremely frustrated. Now blood test were taken except for the PSA and no other labs other than the UA. He's never had any type of discharge and no swabs were taken that I know of. |
| REPLY |
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Yes, that must have been quite frustrating.
Besides the medicines, I am afraid that your husband also needs to get a Doppler ultrasound. Peyronies disease is usually caused by plaques in the tissues but it can also occur due to bleeding from the blood vessels and a doppler ultrasound will be able to help in this case.
There is no specific treatment for Peyronies. The standard treatments consists of high doses of vitamin E. If this does not help, then injection of drugs like verapamil and collagenase are sometimes given to dissolve the scar tissue.
I hope this helps.
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| LKN paid $20 on November 22 2008 at 1:20 AM
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