Erection urethra pain

If a man has an erection without any illness, he will feel very smooth and will not show any symptoms. However, some people find that their urethra hurts when they are about to have an erection during sex. Because of the stimulation of urethral pain, the erection may become soft soon after. This is caused by an inflammatory infection or trauma. It is necessary to find out the cause and just want to adjust and treat it to recover as soon as possible.

reason

There are many reasons for erectile pain. It may be caused by trauma and infection, or the patient may suffer from certain diseases, such as non-gonococcal urethritis, penile torsion and penile cancer, which may cause erectile pain.

Symptoms

If you have a herpes virus infection, it will cause erectile pain. The most common one is genital herpes. After this infection occurs, the patient's penis will experience itching, burning, and pain.

treatment

Male friends with genital tract inflammation should first undergo anti-inflammatory treatment. If the patient is taking Chinese medicine for kidney tonic or sexual enhancement, the medicine should be discontinued. A small amount of estrogen medicine (such as Livial) or Chinese medicine for calming the liver and suppressing yang can be taken to relieve symptoms.

Diagnostic points

(I) Medical history: The patient's medical history should be carefully studied, especially for patients with the first episode. The medical history can help to find the cause of the abnormal erection. At the same time, the patient should be asked whether there have been previous episodes, how long they lasted, and how they were treated.

(II) Clinical manifestations: The disease usually occurs suddenly. In the absence of sexual desire, the penis will have a tonic and persistent erection, with severe swelling, itching or pain. The duration of the erection varies, from a few hours to a few weeks. If the erection lasts for more than 24 hours, the skin of the penis will be bluish-gray, the corpus cavernosum will be wooden-like and hard, and the pain will radiate to the thighs. A small number of patients complain of dysuria or urinary retention. There are also unstable manifestations such as emotional tension, irritability, suspicion, and timidity.

Examination showed: the corpus cavernosum of the penis was obviously swollen and tense, the corpus cavernosum of the urethra and the glans penis were flaccid. The penis was hard and wood-like and had lost its elasticity.

1. Endocrine function examination: In addition to the usual testing of plasma testosterone and prolactin levels, ED patients also need to test LH, FSH, E2, etc. when necessary. Thyroid function, etc., needs to be evaluated for individual patients according to their condition.

2. Nocturnal penis erection and hardness test (NPT): Healthy men have 3 to 6 physiological erections during the rapid eye movement phase of sleep, each lasting 20 to 30 minutes. Even if there is a psychological cause, this erection will not be affected. Therefore, the NPT test has important reference value for distinguishing organic and psychological ED. It is necessary to perform NPT testing before sexual psychotherapy or before surgery.

3. Penile corpus cavernosum injection of vasoactive drugs to induce erection test (ICI): ICI is still a simple and easy examination method with certain diagnostic significance for diagnosing ED.

4. Color dual-function ultrasound multispectral examination: After the vasoactive drug prostaglandin E1 is injected into the corpus cavernosum of the penis, the color dual-function ultrasound multispectral diagnostic instrument is used with a high-frequency probe to examine the corpus cavernosum structure and arterial diameter, the maximum blood flow velocity during contraction and the blood flow velocity at the end of contraction of the penile artery, and the resistance index is calculated to evaluate the arterial perfusion and venous closure function of the deep arteries of the corpus cavernosum.