Penis pain

Penis pain can be triggered by various factors, including:

• Infections: Bacterial or viral infections such as sexually transmitted diseases (e.g., genital herpes or gonorrhea) or urinary tract infections can cause pain and irritation in the penis. Fungal infections (e.g., Candida) can also lead to pain.
• Trauma or injuries: Injuries to the penis from accidents, sports activities, or during sexual intercourse can cause pain, including the so-called penile fracture (tear of the erectile tissue).
• Inflammations: Inflammations of the glans (balanitis), foreskin (posthitis), or urethra (urethritis) are common causes of penis pain. These conditions are often triggered by infections or poor hygiene.
• Priapism: A painful prolonged erection lasting more than four hours without sexual arousal can also cause severe penis pain and requires immediate medical treatment.

• Stinging or burning pain in the penis, which can occur both when touched and at rest
• Swelling, redness, or discoloration of the penis
• Itching or discharge from the urethra, especially in sexually transmitted infections
• Difficulty or pain when urinating
• In severe cases, with priapism or penile fracture, severe pain, swelling, and deformities of the penis may occur

The diagnosis begins with a thorough physical examination of the penis and surrounding areas. The doctor will ask about symptoms and possible causes, such as injuries or sexual activity. The following examinations may also be conducted for diagnosis:

• Urinalysis: To rule out or confirm urinary tract infections.
• Urethral swab: To diagnose sexually transmitted infections, such as gonorrhea or chlamydia.
• Blood tests: To detect infections like herpes or other systemic diseases.
• Ultrasound: If a penile fracture or more serious injuries are suspected, an ultrasound may be performed to assess the extent of the injury.

The treatment depends on the underlying cause:

• Antibiotics or antiviral medications: For infections caused by bacteria or viruses, appropriate medications are prescribed.
• Pain relief and anti-inflammatory: Painkillers and anti-inflammatory medications can be used to alleviate discomfort.
• Surgical treatment: In the case of a penile fracture or priapism, surgical intervention may be necessary to restore normal penile function.
• Improved hygiene: For inflammations such as balanitis or posthitis, improved intimate hygiene and avoiding aggressive soaps can help reduce the inflammation.

Good intimate hygiene, protected sexual intercourse to prevent sexually transmitted infections, and caution during high-risk activities can help prevent penile pain. Early treatment of infections and injuries is important to avoid more serious complications.