Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

121 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes pain in the penis?

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9903 Questions

default
Posted on Sat, 9 Dec 2017 in Urinary and Bladder Problems
Question: Height- 5'10

Weight- 67KG

Penile Measurement -

Length: 5.9 - 6.0 inches

Girth: 4.9 in the base, 4.5 just below the glans

Dear Doctor,

I am suffering from the below symptoms since June/2014.

I am having penile pain and bend during erection in the underside of the penis. I used to wear tight underwear (when I used to go to gym) and during erection the underwear prevent/restricted the erect penis from going up. I believe this has caused damage to the underside of the penis or the ligament. Also the erected penis barely reach 90 degree angle from the floor.

I feel like something in the underside of the penis is holding the erection. I feel like the underside of penis is non-stretchable or short, that's why its holding the erect penis, thus making the curve. There is a black patch in the underside of my penis, its very smooth/velvety.

I feel the frequent urge to urinate, sometimes very less amount of urine comes out !!

My Questions-

Is it peyronie disease ?

Could it be Chordee ? Sometimes I feel very strange feeling (the underside of penis, the affected area) while urinating.

Does it have anything to do with pelvic floor muscle ? I have problem of incomplete evacuation and I don't feel anything below my belly button. All of these problems- incomplete evacuation, no feeling below belly button, penile pain started at the same time. I also feel mild discomfort in the pelvic area after ejaculation.

Please help.

Thanks

Any other symptoms/ issues: Pain in the underside of erect penis, unable to sustain erection (due to pain, stress), black patch in the underside of the penis, slight penis bend, loss of sexual drive/libido, soft glans.

Hardness of penis during erection: Glans are soft, sides of penis is hard, underside of penis feels strange, its not hard. I feel one muscle/string that is coming out from the base of penis, also highlighted in the images is holding the erection.

Kindly review the attached images.

Please help I am deeply stressed.

Additional Information:

1) Can you palpate hard mass (Plaque) at the site of dent?

No. But this chord is not soft, its thick. On flaccid penis, I don't feel anything.

2) Do you have any difficulty in penetration of Vagina during sexual intercourse with your female partner?

I am virgin.
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
It is not chordy

Detailed Answer:
Hello
Thanks for query .

Based on the photographs of your penis both in flaccid and on erection I would like to comment that though there is a curvature of penis on erection it is not definitely due to chordee but is is due to disparity between length an anterior and posterior aspects of a sheath that envelopes erectile bodies called Corpora Cavernosa .The precise cause for this could be due to trivial trauma by wearing a tight inner wares However curvature being less than 10 degree it will not pose any difficulty in having a penetrative intra vaginal sex .

As regards your suspicion about Peyronies disease it can be confirmed only on clinical examination of penis by a qualified Urologist and doing Ultrasound Scanning of penis .

The underside of penis contains urethra which is soft and supple and does not become hard during erection It is only two bodies of Corpora Cavernosa become hard during erection.The purple patch that you feel is a Bulbar Part of Urethra which is thicker than pendular part (Penile)of urethra.

To summarize I would state that you have no structural (Anatomical)abnormality of
penis except a slight curvature which is not going to have any adverse effect on marital life and pose any difficulty in having sexual enjoyment .

All other symptoms that you have are functional due to anxiety and not organic in nature .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.





Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. P. T. Patil 2 hours later
Thanks doctor for replying. I have few question and would be happy to to get the reply.

1) Why the glans are soft after erection. How will I be able to penetrate ? Is it venous leak ? Can it be fixed ?

2) Why the girth of penis is less in the upper half ?

3) What about the pain I am getting pain during erection? What about the chord (highlighted in the 3rd pic with red arrow) that is coming out of base of penis.. which is also restricting the erection? That chord is not coming out from the middle... it is coming out from only one side.

4) What about the discomfort I feel in the pelvic muscle during erection? I also feel the movement of pelvic muscle during erection.

5) Can this curvature be removed or straightened ?

6) I have never retracted the skin off the penis. I am scared to do that. Is there any problem with that?

Thanks
doctor
Answered by Dr. P. T. Patil 2 hours later
Brief Answer:
ead answers to your questions ad detaied beow

Detailed Answer:
Hello
Thanks for follow up .

I would answer your queries point to point as detailed below

1) Glans penis is a cap like structure that tighlly covers up both cylinders of erectile tissue called Corpora Cavernosa together .It does not contain erectile tissue hence does not become hard like rest of penis on erection.Since it is tightly snugged with these cylinders it can be easily pushed in to vagina during penetration as vagina is well lubricated after arousal .

2)The girth of penis is always variable due to distribution of blood in erectile tissue .It is distal part of penis that enters into vagina carries importance rather than at base .

3) Since you have not retracted your foreskin there is likely possibility of frenulum being tight causing curvature of penis and stretching of this tight frenulum may be the cause for getting pain during erection .You need to consult qualified Urologist for clinical examination and to rule out Phimosis with thick tight frenulum.

4)The discomfort in pelvic floor can be due to anxiety .

5) The Urologist on clinical finding will be able to explain whether the curvature is due to tight frenulum and if so it can be corrected by a minor surgery of Frenuloplasty.or may need to get circumcised if diagnosed to have Phimosis

6) Try to retract foreskin and see yourself whether it can be retracted freely or not.It is vital important that foreskin should be retracted and cleaned every day while taking bath to maintain good genital hygiene and to prevent accumulation of mucus secreted by glans penis (Smegma)

Hope it will clear out your doubts .

Thanks and Regards.
Dr.Patil.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. P. T. Patil 1 hour later
Thanks for replying each question in detail. I have few more questions.

1) Please tell me what test(s) do I need to go through to find out (or rule out) any structural (Anatomical) abnormality in - penis and pelvic muscles and any other area that could lead to this problem. I want to scan it all.

Thanks
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Get Ultrasound Scanning of Penis done.

Detailed Answer:
Hello
Thanks for follow up .

A thorough clinical examination by a qualified Urologist and Ultrasound Scanning of Penis will help to detect the cause for your problem precisely .
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. P. T. Patil 2 days later
But what about the chord/muscle "that is coming out, a highlighted in the picture".

I can feel that muscle during the erection. I clearly feel like something on the underside of the penis (is it corpus spongiosum?) is restricting the penis erection. thus creating a bend and pain.

I have never retracted foreskin. I feel it would be very painful thing to do...
doctor
Answered by Dr. P. T. Patil 5 hours later
Brief Answer:
Corpus Spongiosus is no involved in Erection.

Detailed Answer:
Hello
Thanks for follow up .Corpus Spongiosum is a muscle that encircles urethra .The bulge that you notice is a thick muscles and is not involved in process of erection .neither it would restrict erection .

Not retracting a foreskin and cleaning it regularly will lead to accumulation of smegma around glans penis and cause infection .If the foreskin is not retractable completely over glans penis (Phimosis) it may lead to difficulty in penetration of vagina during intercourse .That is the reason I have suggested you to consult qualified General Surgeon or Urologist for clinical examination .That is the only way to confirm or rue out Phimosis .

The real issue can be diagnosed only on clinical examination in person .It is very difficult to ascertain the precise cause or to establish diagnosis on photographs.
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics ,   ,   ,  

Recent questions on  Erectile tissue

doctor1 MD

          Mr Obiedullah Baig
+(91)-44-0000
My names are GAKURU John from Coimbatore native place Australia. I have the following problem. I have a very small penis and I have bought the pill called skander-e-azam penis enlargement capsules which I took for 3 months from 1ST/MAI TO END OF JULY/2010. They told me that I would see my penis being enlarged after 2 months and results should be permanent.



THE PROBLEM IS THIS:



MY PENIS DID NOT GET ENLARGED IT IS STILL SMALL.



I am afraid that those capsules injected in my body some problem which will affect me in future.



I need you give me the answer about the following question:



1. are those medecine safe?

2. are those medecine really work or are given ny some cheaters.

3. Is it good to take those medecine?

4. Can you tell me which problem caused that pills not to enlarge my penis?

5. I want to buy again that capsule to try again but I need your advice if I can buy it or not.





Below is the site where I got the advertisement about that capuse



web site: WWW.WWWW.WW






BELOW IS THE ADVERTISMENT:







Sikandar-E-Azam Herbal Capsule

Have BIGGER , Harder, Longer-Lasting Erections -Guaranteed?



--------------------------------------------------------------------------------

WITH SIKANDER-E- AZAM CAPSULE YOU CAN….



•Increased sexual stamina and sex drive.

•More powerful, intense orgasms.

•No more premature ejaculation.





No worry if you have small penis or unsatisfied sex life Hashmi Dawakhana has a solution for this. After long researched in herbal medicine they have developed one formula – Sikandar -e- Azam herbal capsule. All around the world lots of people are using it & getting satisfied sex life. After taking this herbal capsule you can Imagine how you’d feel seeing your penis bigger in length and girth when aroused. When people talk about penis enhancement, there’s one name that always comes up -Sikandar -e- Azam Herbal Capsule.



We believe so strongly in our product , We Dare You to Try Our Competitors First ! None of our competitors can say that When men want to guarantee they can enhance their penis, there’s only one name they turn to -Sikandar -e- Azam Herbal Capsule. If you’re not satisfied with your erection size, or simply want to reclaim some of your youthful vigor, use Sikandar -e- Azam Herbal Capsule. There’s a reason why our product is often imitated but never duplicated.



Sikandar -e- Azam Herbal Capsule has helped millions of men successfully gain bigger, firmer erections and have a better sex life. We’re a dedicated group of professionals focused entirely on the enhancement and improvement of sexual function and enjoyment. Problems once thought unsolvable, such as erection size or weak performance, can now be solved. Their sexual peak or overcome sexual concerns through safe, natural means. Our mission is to offer men optimal penile health. By doing so, we hope to increase their self-esteem, confidence and quality of life.- the Top Performing Penis Enhancement capsule Available Today.



When you use Sikandar -e- Azam Herbal Capsule you’ll soon understand why it has become the best-selling product of it’s kind. Additionally, Sikandar -e- Azam Herbal Capsule has proven to be the safest, most effective and completely noninvasive method for increasing your sexual health. Traditionally, the medical community has taken a reactionary approach to dysfunction by responding to problems with aggressive prescriptions or invasive surgery. Unfortunately, these methods often cause unwanted and even dangerous side effects. Attempts to enhance penis size through non-medical methods usually mean ineffective pills or exercises, or even worse, manipulations that brutalize the penis with weights, straps, rings or pumps. To get started improving your penis size, safely and naturally use sikanar-e-azam herbal capsule.



Hashmi Dawakhana has brought the mirecle for weaker people in sex life. When people talk about penis enhancement, there’s one name that always comes up – Sikandar -e- Azam. No other product can match the positive results that Sikandar -e- Azam capsule formula provides.



You believe it or not – 12% of women are not happy with their partner’s penis size.





--------------------------------------------------------------------------------



Experience MASSIVE MALE POWER for just a little money!



Sikandar -e- Azam is surprisingly inexpensive for all you get. You might expect this amazing product to cost $ 97.16 for 30 capsules. We GUARANTEE you will experience real results within the first month. For optimum Growth and Power, take Sikandar -e- Azam for a 3 months period.We GUARANTEE You’ll Experience Real Results Within the First Month. Start feeling better about yourself and confident with your enhanced sexual performance now





--------------------------------------------------------------------------------



Ingredients

Zingiber Officinalis 80 mg

Eugenia Koreohileta 30 mg

Mysrisica Officianalis 40 mg

Mryistica Fargrans 30 mg

Cinnamomum Zeyanicumbiume 20 mg

Apnea Gaiangel Willed 30 mg

Seed of Tamarindus Indicus Linn 100 mg

Querecus Incana Engl 20 mg

Querecus Infecotoria 30 mg

Muruna Pruciens 100 mg

Crocistigmats 05 mg

Aurum Compound 10 mg





--------------------------------------------------------------------------------



Dosage- One Capsule Daily in Evening. We recommend you to take this capsule for 3 months for desired results.

Price-$77.11 for One Month Suppply(30 Capsule). INR-3,850



All India free Supply. No any Hidden or Extra charges.









Q: What Exactly Is Sikandar -e- Azam?



A- Sikandar -e- Azam capsules is a natural herbal formula for erection and virility enhancement that promotes erectile length, girth, and strength, as well as overall sexual vigor and function.It gives strength to body to resist any disease.



Q: How Does Sikandar -e- Azam Work?



A: Herbs from many parts of the world are formulated into a blend that enlarges the penis erectile tissues called corpora cavernosa when aroused. On either side of your penis, you have two spongy areas (called the corpora cavernosa). An erection happens when you become excited and the natural flow of blood fills these erectile tissues.Sikandar -e- Azam has been scientifically developed to expand these erectile tissues and make them much larger. As it does this the erectile tissues can hold more blood than ever before.



Q: How Many capsules Should I Take?



A: One capsule twice a day with milk.That’s all.



Q: Will There Be Any Side Effects?



A: None reported. Sikandar -e- Azam Capsule are a non-prescription formula that is safe for you to use. As with all dietary supplements, do not take in excess of the recommended dosage.



Q: Who Should Order Sikandar -e- Azam?



A: You should if you would like to strengthen and lengthen your pleasure with a herbal formula that really works.



Q: How Long Will It Take To Get The Results I Need and Want?

A: When you start using Sikandar -e- Azam Herbal Penis Enlargement Capsule, within no time you will feel enhancement in sex desire, more strength in erection and overall strength in your body. After using it for two months, your will see the change in your penis size. Just imagine how would you feel when you will see your penis enlargement upto 2 inches within two months. Just use Sikandar -e- Azam Herbal Penis Enlargement Capsule and you will come to know why Sikandar -e- Azam Herbal Penis Enlargement Capsule is a revolutionary discovery.



Q: What Is In Sikandar -e- Azam?

A: Sikandar -e- Azam is a safe, proprietary selection of special herbs renowned for their special properties and blended together in a powerfully effective combination. These special herbs have been gathered from around the globe.



Q: I’ve read That The Average Penis Size Is 6 Inches. What About Men From Another Race Or Country?

A: The Kinsey Report is one of the most complete studies of penis size to date. It states that the average white male has a penis measuring 6.2 inches long and 3.7 inches around, and the average black African male has a penis measuring 6.3 inches long and 3.8 inches around. This is a difference of only 0.1 inches, which is not statistically significant. Generally speaking there is no little difference in the size of the penises, and this is true worldwide. Sikandar -e- Azam works to enhance size in the erect state.



Q: How Does the Formula Compare With Viagra?



A: This is all-natural. It’s an herbal formula. There are no reported side effects. And you get the added benefit of having the herbs nourish other parts of your body.



Q: How Much Does It Cost?

A: Sikandar -e- Azamis surprisingly inexpensive for all you get. You might expect this amazing product with all these herbs to cost Rs. 1286/- ($30USD) per 10 capsule.



Q: What Type Of Guarantee Do I Get?





A: Your satisfaction is guaranteed or your money back. We built our business by offering excellent products to happy customers who order from us again and again — customers who feel good about referring their friends to us. If you don’t see better erectile firmness and size, then return it for a refund .We will refund your money deducting postal and shipping charges.



Q- Is Sikandar -e- Azam Herbal Penis Enlargement Capsule effective for every man?

A- A product of Hashmi Dawakhana, this capsule has proved effective on all men of age from 18 to 70 years. This capsule has proved to be a boon 100% for men till date. 100% Satisfaction Guarantee.



Q- How much time it takes to get Sikandar -e- Azam Herbal Penis Enlargement Capsule?

A-     We make sure that this excellent product from Hashmi Dawakhana reaches you within 3 -7 days in any part of India.



doctor1 MD

Hi, I am experiencing erectile dysfunction due to a prostratectomy along with removal of both nerves. When using the vacuum pump or injections I experience pain in my scrotum when the point where the scrotal sack is connected to the base of my penis is pulled by the erection. At that point I can no longer use the pump because the pain increases as that connection point is pulled into the pump. Today I had an injection and as my penis became about 80% erect the pain was at about a 7 or 8 on a scale of ten. I m seeing my urologist the first of July as a check on my PSA. Do you have any suggestions as to what could be causing the discomfort?

doctor1 MD

I am a 66 years male. I have erectile dysfunction for the last 15 years. The Penis has shrunk in size and since last one week I am experiencing pain in both my nipples. There is no lump. Is this serious? I am hypertensive with Ankylosing spondylitis (bamboo spine)

doctor1 MD

Hi. I have been suffering from erectile dysfunction for long. Whenever I got a little erection, it caused strong feelings/sensation in lower part of my chest, (in upper part of stomach. This sensation was similar to the sensation which happens during strong depression or fear). This would soon cause de-erection.

During last December I went to a heart specialist for other reasons. He advised some hearts tests which came out normal. The Doctor suggested tablet Loprine, a type of disprine, for me. After a few weeks of taking this tablet the strong feelings which used to appear during erection healed up and erectile dysfunction problem got normalized significantly, not completely though. Now this problem has come back again. Please tell me what should I do, I am 52 years old male.

doctor1 MD

I want to ask one thing that when i have sex , then my penis looks 1-2 cm bigger as compared to masturbation . can you explain the reason for increase in length?

doctor1 MD

I have been not getting erection in the morning and rarely throughout the day over the last 2 months. the only time I get erected is during masturbation . I don't know if prolong erections, when my girlfriend was around with making out without and...