What causes pain in penis? 12 possible conditions

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What Is Penis Pain?

Penis pain can affect the base of your penis, the shaft of the penis, the head of the penis or the foreskin. Penis pain can be a result of an accident or disease, and can affect males of any age.

What Causes Penis Pain?

Penis pain may occur due to the following reasons:

Peyronie’s Disease

Peyronie’s disease starts when an inflammation causes a thin sheet of scar tissue, called plaque, to form along the upper or lower sides of the penis. Because the scar tissue forms next to the tissue that becomes hard during an erection, you may notice that your penis bends when it is erect. The disease can happen if bleeding inside the penis starts after you bend or hit it, if you have a connective tissue disorder, or if you have an inflammation of your lymphatic system or blood vessels. The disease can run in some families or may happen for an unknown reason.

Priapism

Priapism causes a painful erection, which can happen even when you don’t want to have sex. According to the Mayo Clinic, the problem is most common in boys between five and ten years old and men from 20 to 50 years old. (MayoClinic.com). The condition requires treatment as soon as possible or permanent damage could occur to your penis, which might stop you from having erections in the future. It can be caused by side effects of drugs used to treat erection problems; drugs used to treat depression, blood clotting, or mental health disorders; blood disorders, including leukemia or sickle cell anemia; alcohol or illegal drug use; and injury to the penis or spinal cord.

Balanitis

Balanitis is an infection of the foreskin and the head of your penis. It usually affects men and boys who haven’t been circumcised or who don’t wash under the foreskin regularly. It also can happen if you have a yeast infection, a sexually transmitted infection (STI), or an allergy to soaps, perfumes, or other products.

Sexually Transmitted Infections

Infection with an STI can cause penis pain. STIs that cause pain include chlamydia, gonorrhea, genital herpes, or syphilis.

Urinary Tract Infection

A urinary tract infection (UTI) is more common in women, but can also happen in men. A UTI happens when bacteria gets into your urinary tract. An infection might happen if you are uncircumcised, have a weakened immune system, have a problem or blockage in your urinary tract, have sex with someone who has an infection, have anal sex, or have an enlarged prostate gland.

Injuries

Like any other part of your body, your penis can be damaged due to an injury. Injuries can happen if you are in a car accident, suffer burns, have rough sex, put a ring around your penis to prolong an erection, or insert objects into your urethra, the tube that carries urine out of your penis.

Phimosis and Paraphimosis

Phimosis happens in uncircumcised males when the foreskin of the penis is too tight and you can’t pull it away from the head of your penis. It usually happens to children, but can also occur if balanitis or an injury causes scarring in the foreskin. A related condition called paraphimosis happens if your foreskin pulls back from the head of the penis, but then can’t return to its original position covering the penis. Paraphimosis is a medical emergency because it can stop you from urinating and may cause death of the tissue in the penis.

Cancer

Penile cancer is another cause of pain in the penis, although it is uncommon. Certain risk factors increase your chances of getting cancer, including smoking, not being circumcised, having a human papillomavirus (HPV) infection, not cleaning under your foreskin if uncircumcised, or being treated for psoriasis. According to the Cleveland Clinic, most cases of penile cancer happen to men who are over age 50. (ClevelandClinic).

What Are the Symptoms of Penis Pain?

Symptoms vary depending on what condition or disease caused your problem. If you have an injury, pain may be severe and occur suddenly. If you have a disease or condition, pain may be mild and may gradually get worse. Any type of pain in the penis is a cause for concern, particularly if it occurs during an erection, prevents urination, or is accompanied by a discharge, sores, redness, or swelling.

What Is the Treatment for Penis Pain?

Treatment varies depending on the condition or disease.

  • Injections soften Peyronie’s disease plaques, and surgery can remove them in severe cases.
  • Draining the blood from the penis with a needle helps reduces an erection if you have priapism. Medication may also lower the amount of blood flowing to the penis.
  • Antibiotics treat UTIs and some STIs, including chlamydia, gonorrhea, and syphilis.
  • Antiviral medications can help reduce herpes outbreaks.
  • Antibiotics or antifungals treat balanitis.
  • Stretching the foreskin with your fingers may make it looser if you have phimosis, or steroid creams rubbed on your penis can help. In some cases, surgery is needed.
  • Icing the head of your penis reduces swelling in paraphimosis. Your doctor also may suggest putting pressure on the head of the penis, injecting drugs into the penis to help it drain, or making small cuts in the foreskin to decrease swelling.
  • Surgery removes cancerous parts of the penis. Treatment also may include radiation treatment or chemotherapy.

How Can I Prevent Penis Pain?

You can take some steps to reduce your chances of developing pain, such as:

  • using condoms when you have sex
  • avoiding sex with anyone who has any kind of active infection
  • asking sexual partners to avoid rough movements that bend your penis
  • having a circumcision if you have repeated infections or other problems with your foreskin
  • cleaning under your foreskin every day

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See a list of possible causes in order from the most common to the least.

1

Urinary Tract Infection

UTIs are usually caused by bacteria and can occur in any part of the urinary tract. Symptoms of upper UTIs include pain in the upper back, chills, fever, and nausea.

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2

Balanitis

Balanitis is swelling of the foreskin or head of the penis. Symptoms include redness, discharge, itchiness, and pain.

Read more »

3

Prostatitis

Prostatitis is inflammation of the prostate gland, which produces a fluid found in semen. The inflammation may spread to the area around the prostate. Causes include bladder infection, STDs, and injuries to the prostate.

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4

Chronic Nonbacterial Prostatitis

Chronic nonbacterial prostatitis causes pain and inflammation in the prostate and the lower urinary tract in men. It's a common condition, especially in men between the ages of 35 and 50 and the cause is often unknown.

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5

Urethritis

Urethritis is an infection of the urethra, the tube that carries urine from the bladder and semen out of the body. Symptoms include burning while urinating, abdominal pain, and discharge.

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6

Bladder Stones: The Bad, the Ugly, and the Good

Bladder stones are crystallized minerals that form when concentrated urine (less water and more waste products) is left in the bladder after urination. About 95 percent of urine is water. The other five percent i...

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7

Genital Herpes

Genital herpes is a sexually transmitted infection (STI). This STD causes herpes sores, which are painful blisters (fluid-filled bumps) that can break open and ooze fluid. According to the Centers for Disease Contro...

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8

Male Chlamydial Urethritis

Chlamydial urethritis in men is an infection of the urethra caused by the sexually transmitted infection (STI) chlamydia. The urethra is a tube that carries urine from the bladder to the outside of your body.Thi...

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9

Syphilis

Syphilis is a sexually transmitted infection. It is caused by a type of bacteria known as Treponema pallidum. According to the Centers for Disease Control and Prevention, in 2006, more than 36,000 cases of syphilis wer...

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10

Reactive Arthritis (Reiter's Syndrome)

Reiter's syndrome produces inflammation, swelling, and pain in the joints due to infection elsewhere in the body. Symptoms include mouth ulcers, painful urination, and urethral discharge.

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11

Penile Cancer (Cancer of the Penis)

Cancer of the penis, or penile cancer, is a relatively rare form of cancer that affects the skin and tissues of the penis. According to OncoLink, a publication of the University of Pennsylvania, there are only abou...

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12

Herpes Simplex

The herpes simplex virus, also known as HSV, is an infection that causes herpes. Herpes can appear in various parts of the body, most commonly on the genitals or mouth. There are two types of the herpes simplex virus...

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This feature is for informational purposes only and should not be used to diagnose.
Please consult a healthcare professional if you have health concerns.
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