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Urology (Expert Forum)
Penis and Testicle Pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Penis and Testicle Pain
by PC4447, Sep 08, 2006 12:00AM
Last October, I had unprotected oral and vaginal sex and wasn't able to shower until 12 hours later. A couple of days after the incident, I had what felt like the flu (for about four days). Two weeks after the incident, my partner informed me that she had genital herpes. Four stress-soaked days after that, I began feeling sharp pains in my penis. About a week after that, my hair follicle glands (if that's the correct term) began protruding throughout my penis, particularly at the bottom of the shaft. While I know that it's easy to "find" stuff when you're stressed about having caught an STD, I know with absolute certainty that my hair follicles didn't protrude that noticeably before my sexual encounter (it's unpleasant-looking and I would have gotten it checked out beforehand).
I assumed that I had herpes and was given Valtrex, which I took for a few months. Five months after the sexual encounter, I took a HerpesSelect IgG-based test, which came out completely negative for types 1 and 2. I've since tested negative for Chlamydia, gonorrhea, syphilis, HIV, and hepatitis B. The pain, though, hasn't gone away.
I don't experience pain when urinating or ejaculating; it's more of a constant ache in my shaft and testicles that occasionally runs down my left leg. It's worse at night, and worse still when I dwell on it (which is true of all pain, I know).
I started seeing a urologist last May; he preformed a prostate massage on me at that time. He said that the fluid showed signs of irritation. He's prescribed a couple of different antibiotics, but they haven't worked. I'm currently taking Carbenicillin; I'm only a day into it. I saw him again a few days ago, and he preformed another prostate massage; he said that the fluid had gotten darker (as it's supposed to be clear, I assume this means the condition is getting worse). Here are my questions:
1. Is it possible that I picked up a viral infection that can't be cured (the flu-like symptoms following the incident would seem to indicate that)?
2. Is it possible that my extreme anxiety caused the hair follicles to come out and the irritation to my prostate (or the prostate fluid)?
3. Could I have a case of herpetic folliculitis on my penis? If so, does that mean that I can give herpes to sexual partners, even if I don't have the disease?
4. Would it be worth it to get a second herpes blood test done, or can I trust the first one?
5. Would a prostate infection cause the pain in my shaft? If not, what would?
Thank you for your time and the service you provide.
I assumed that I had herpes and was given Valtrex, which I took for a few months. Five months after the sexual encounter, I took a HerpesSelect IgG-based test, which came out completely negative for types 1 and 2. I've since tested negative for Chlamydia, gonorrhea, syphilis, HIV, and hepatitis B. The pain, though, hasn't gone away.
I don't experience pain when urinating or ejaculating; it's more of a constant ache in my shaft and testicles that occasionally runs down my left leg. It's worse at night, and worse still when I dwell on it (which is true of all pain, I know).
I started seeing a urologist last May; he preformed a prostate massage on me at that time. He said that the fluid showed signs of irritation. He's prescribed a couple of different antibiotics, but they haven't worked. I'm currently taking Carbenicillin; I'm only a day into it. I saw him again a few days ago, and he preformed another prostate massage; he said that the fluid had gotten darker (as it's supposed to be clear, I assume this means the condition is getting worse). Here are my questions:
1. Is it possible that I picked up a viral infection that can't be cured (the flu-like symptoms following the incident would seem to indicate that)?
2. Is it possible that my extreme anxiety caused the hair follicles to come out and the irritation to my prostate (or the prostate fluid)?
3. Could I have a case of herpetic folliculitis on my penis? If so, does that mean that I can give herpes to sexual partners, even if I don't have the disease?
4. Would it be worth it to get a second herpes blood test done, or can I trust the first one?
5. Would a prostate infection cause the pain in my shaft? If not, what would?
Thank you for your time and the service you provide.
Doctor's Answer
by Kevin Pho, MD, Sep 09, 2006 12:00AM
, Sep 09, 2006 12:00AM
To answer your questions:
1) Unprotected sex will always increase the risk of viral infections. Herpes and HIV should be tested via blood tests. They should be repeated in 3-6 months to test for seroconversion.
2) Anxiety can lead to the symptoms - but should be considered after infection and other disorders have been ruled out.
3) A urethral culture as well as blood tests can help with the diagnosis of herpes.
4) I would repeat the herpes test if the diagnosis is in doubt.
5) That is possible. Obtaining a transrectal ultrasound can be considered to image the prostate for any abscess.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
1) Unprotected sex will always increase the risk of viral infections. Herpes and HIV should be tested via blood tests. They should be repeated in 3-6 months to test for seroconversion.
2) Anxiety can lead to the symptoms - but should be considered after infection and other disorders have been ruled out.
3) A urethral culture as well as blood tests can help with the diagnosis of herpes.
4) I would repeat the herpes test if the diagnosis is in doubt.
5) That is possible. Obtaining a transrectal ultrasound can be considered to image the prostate for any abscess.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments (1)
by littleworried, Sep 08, 2006 12:00AM
To: Sexual Problem
0
