Most Common Causes of Penile Pain | Pelvic Health & Rehabilitation Center
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- Опубліковано 15 жов 2024
- Penile pain is a common symptom among men who suffer from pelvic pain. Pelvic pain expert Elizabeth Akincilar is back to talk about the most common causes of penile pain, what should what treatments are available to overcome this issue.
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About Pelvic Health and Rehabilitation Center:
PHRC is the leading physical therapy center for patients experiencing pelvic pain. At PHRC our advanced pelvic floor training allows us to integrate pelvic floor and pelvic girdle physiology to help the person function better as a whole. The benefit of our focus is that it has allowed us to establish a deep well of experience that we are able to draw from when treating this complex part of the body.
About Elizabeth Akincilar, MSPT
Liz received her Masters of Physical Therapy from the University of Miami Medical School. She is a Pennsylvania native but spent much of her early professional career in San Francisco. In 2015 Liz was excited to move back to the east coast to open PHRC’s first New England location. Now she is a fully acclimated New Englander who loves the four seasons. Liz’s happy place is in the kitchen cooking for friends and family or in the mountains with her partner and two rescue German Shepherds, Gunner and Jackson.
You’re an amazing woman. Thanks so much for trying to help guys like us
Happy to help!
Thank you for this video. And thank you for responding in the comments.
My issues started a year and a half ago.
Random pelvic pain, usually stabbing.
Mostly in my public hair region. Sudden onset of frequent urination with burning. Went to the doctor because I thought UTI. Checked ok. Had pelvic ultrasound twice, and everything looked "normal".
No hernia either.
Pain continued off and on. Sometimes worse than others.
8 months ago, after w pretty bad case of Covid my PSA # jumped. And jumped again 3 months later. Urologist thought it was a fluke. His examination showed a normal size and feel for my prostate.
Retested PSA 3 weeks later and PSA came back down.
Now I deal with random stabbing pelvic.l pain, urination stream is much weaker than before as well as ejaculation force.
Visited a pelvic floor therapist locally. Unfortunately they don't take my health care insurance and I can't afford $150 per visit so I stopped going.
I do some stretches but it doesn't seem to help sometimes painful.
Please answer this part..
Is it normal to feel more pain after kegel type exercises?
It is really scary to me. I feel at a loss. I don't know what to think..
Thank you!!!
To answer your question at the end, no it is never normal to have pain after kegel exercises. Unfortunately, it is not appropriate or legal to give specific care or advice without being a patient. We understand it can be expensive but we encourage you to seek out an evaluation of a provider near you to better understand your symptoms. You can check the www.isswsh.org website for both medical providers and PTs in your area or www.pelvicguru.com. There may be some that do take insurance, it is also worth asking about sliding scales as some practices will do this in specific cases of financial hardship.
Kegels can do more damage if ur pelvis os tight.Its two types of pelvic dysfunction tight and weak.
Can men recover from pelvic floor dysfunction? What treatments are there?
Yes they can! Treatment would begin by seeing a pelvic floor PT to be assessed.
Wish you were close to the St. Louis area, the PT's around here are to shy to treat male pelvic floor issues if it has anything to do with the genital areas.
Can you please tell me if penile pain after bowel of movement is usually one of the symptoms of the pelvis muscles/nerves dysfunction- neuralgia? If not, then I have prostatitis. Please answer me.
Thank you for your questions. Yes, penile pain after a bowel movement can be caused by irritation to the pudendal nerve. Often this is because the pudendal nerve is stretched especially if the bowel mechanics are poor, one is straining, or has constipation/constipated stool. Sometimes, this can also be a referral pain from a trigger point. It would be best to get a thorough assessment from a qualified pelvic floor PT to help you. The treatment plans can vary depending on the root cause of the problem. You can book a virtual consultation with us here: pelvicpainrehab.com/telehealth/
@@PelvicHealth But even if I don’t have constipation I will still have pain a deep pain in my shaft till the glans. Then it takes me at least 11 hours for my penis to get rid of the pain. It is worth noting that I have the same pain post ejaculating and the more intensity the more painful I get and longer hours to recover after. My urologist is saying I might have an inflamed prostate but I don’t know. I did all tests. I will finish my second year now. I just thought of asking you again as you see im still desperate. I just want to know if I look to you like I’m having a pudendal stretched nerve (i know it is hard to tell but please give me anything) and if I do, do you think kegel exercises will help. Thank you so much.
@@Thesalamanca Without seeing you for an evaluation, we wouldn't be able to tell you for sure if you have a stretched nerve. We could not tell you for certain without seeing you.
How are u bro?
@@mostarsk99 same
Hello mam,
Eariler i had ureaplama bacteria which i treated & most symptoms gone but
I have intermittant penile pain(tip to middle shaft).
No pain during or after ejaculation or erection,no frequent urination nothing expect this pain.
What possible causes you think?
And what i can try to cure this?
Thank you for your question. It is challenging to say in your case without having evaluated you. Sometimes people have irritated muscles, some have irritated nerves, some have residual infections. We would recommend an online consultation with one of our staff to better guide you. You can inquire about an appointment here: pelvicpainrehab.com/telehealth/
@@vvvishnu7207 are you oky now
I wish I could see you in person, I have no idea where to go.
I've been to see a urologist twice and they found nothing.
I've been suffering from penis pain and erectile dysfunction for 4 years.
Nobody knows how to treat me.
My doctor is so confused.
I'm based in the uk, doctors haven't got a clue here.
You are always welcome to see us virtually if you would like to consult that way! pelvicpainrehab.com/telehealth/
@@PelvicHealth Do you know of anyone in the uk who could help me?
@@galaticoera7022 We do not have a specific recommendation but we can give you an international directory that may assist you in finding a provider near you.
pelvicpain.org/IPPS/Patients/Find_A_Provider/IPPS/Content/Professional/Find_A_Provider.aspx?hkey=ac3c51ec-0939-499f-a6a0-c72d0aa2f427
Tks for this new video.
How long takes an overstretched dorsal branch nerve need to get heal? Is it necessary to stop or limiting sexual activities?
Healing time depends on the injury and the surrounding impairments. Sexual activity can transiently increaser symptoms, stopping sexual activity is not 'necessary' for healing per se.
Tks for this fast. answer. but what do you mean by surrounding impairment?
@@gillesgehmert1357 The nerves/ area surrounding the impairment might be effected in addition to the dorsal branch nerve.
I think dry sex or masturbation has aggravated my tip and some of the upper half of the shaft and hurts erect or not. I’m going to see a doctor regardlessly but curious of your thoughts
We always recommend using lube! Skin friction can cause pain and micro tears. Lube can help avoid these.
Are you oky now
When ejaculation that’s when I feel the pain is this normal? I think it’s because I started doing Kegels exercises it’s been 2 weeks now and it’s my first week in pain.
It is not normal to have pain during or following ejaculation. It could be due to the pelvic floor muscles being tight as performing Kegel exercises would only tighten the muscles that are already constricted, causing pain. It is difficult to say without performing an evaluation so we would advise you to see a pelvic floor physical therapist if the pain continues so that they can accurate assess what is going on and help you further.
I have nerve pain at the tip of penile when sneezing and when i lay on my pelvis with my legs on the air after a tiny injury. Is it serious?????? Plus i got pain when i am trying to do abs exercises. Nothing else. I am worried.
Thank you for your comment and sorry to hear you are experiencing this. It can be challenging to give specifics without knowing more information. If there is a clear mechanical component, which it sounds like there is, you likely would benefit from an appointment with a pelvic floor PT. We offer virtual consultations and you can find more information here! pelvicpainrehab.com/telehealth/
@@PelvicHealth well 2 days passed and i am fine now the pain is gone I dont know what it was but thanks.
@@trigoniko_radar Glad to hear your pain has resolved itself!
What about nearly 24/7 constant pain at the tip(burning, stinging) instensives after urnation and have been cleared by multiple urologists and doctors of infection
Nerve pain can mimic an infection. Since you don't have an infection, now is the time to start asking your doctors about nerve pain or other sources of your pain. As you likely have seen, you might have to talk to multiple doctors until you find someone familiar with treating pelvic pain. Try a urologist or pain specialist. This directory might help: app.v1.statusplus.net/membership/provider/index?society=ipps
@PelvicHealth thank you for your reply this steers me more In the right direction
Any news? How are u?
@mostarsk99 better than I have been but still issues just seen a urologist last week been put on pregabalin, and doing stretches. And also seeing a PT
@@l3ftyzy0 wich simyptoms you had? Only constant pain at the tip or? how long have you been working with pn
I have been suffering tip of the penis pain since 5/6 years. I have consult 3 urologist, 1 skin specialist, 2 physical medicine and rehabilitation. No one find any solution.
When touch tip of penis it hurts. Specially when friction is more means moving and walking is more then pain also more.
Which doctor would you suggest? And what will be the possible reason for that pain.
A urologist or pain doctor familiar with pelvic pain would be useful. The International Pelvic Pain Society has a find a provider link to locate a doctor near you who is familiar with pelvic pain. A pelvic PT could also help treat any possible muscular or fascial causes. You can schedule a digital appointment with our therapists. Irritation or injury to the pudendal nerve can also cause pain at the tip of the penis. Connect with a knowledgeable provider and discuss possible causes and treatments.
Can men 50 years of age or older get chronic pelvic pain syndrome???
@@rockyDiroma Yes they certainly can. If you are experiencing CPPS, we recommend working with a pelvic floor pt! Please see our archive of blogs on the topic along with success stories! pelvicpainrehab.com/?s=Chronic+pelvic
@@PelvicHealth okay thank you, good to know I appreciate the response...
So do urine test detect all and any damage in the penis? I strained my penis really bad while it was in its flaccid state. My skin and some parts of my veins feel irritated. Also I notice when I touch or press on my pelvis it causes a numbness and painfully funny tingly feeling through out my left leg. It’s only been like 1 and a half week. Do you think this will heal over time?
Hello, urine tests can only detect so much. We recommend seeing your physician or a urologist to assess and give insight on your situation as we are unable to do so.
@@PelvicHealth thank you I appreciate your concern and help. I went to the ER, I explained the whole situation. They ran, blood, urine and physical test. They said everything looks fine, that it was nothing serious. They said it was only a strain and that it’ll heal in 3 weeks or month. I did make an appointment with my primary care physician just to be extra sure that it is in fact just a strain that’ll eventually heal over time.
@@EnriqueGarcia-yo4hz so you good now ?
@@rynoekam1411 nope. Went to a urologist and he said nothing looked off, but I highly doubt he is correct. It’s been about 4 months already
@@EnriqueGarcia-yo4hzdid you do ultrasound penis scan?
I have sharp penile pain. But i dont have any discharge in penis and i dont have any pain when urinating can you help me with this? Did antibiotics the pain is still there
Hello, without seeing you for an exam we wouldn't be able to help you. If antibiotics did not help, we advise checking in with your urologist.
Are you oky now
@@delixmulenga6631 yes. It was all in the mind. Tested everything it went negative
I've been wondering because I have had pain since thursday after a sexual encounter. From your description it sounds like I have a muscular issue. My question is do those muscles heal on their own with time
You can accelerate muscle relaxation for the pelvic floor by practicing diaphragmatic breathing on your back with the knees hugged in, stretching/foam rolling the inner thighs, groin and gluteals. Check out our recent IG Reel with 10 tips to decrease pelvic pain and consider seeking pelvic PT if you are not experiencing relief soon.
Are you oky now
hello, does burning inside urethra and glans region of the penis being sore point towards Chronic pelvic pain syndrome?? i’m confused as my doctor ran tests and everything came back normal my symptoms are since 10 days now very worried
These symptoms can be seen with pelvic pain syndrome, and often are associated with dysfunction of the superficial pelvic floor muscles. If you have seen your doctor and they have ruled out other common causes of pelvic pain, it makes sense to see a pelvic floor physical therapist for an assessment of your pelvic floor.
@@PelvicHealth hello thanks for your reply but my symptoms are all gone now :)
@@wademahone5807hi! I do have the same promblem. Can you share the cause & how did you heal it?
Much thanks 🙏 to you if you can help
@wademahone5807what medication did you take
Me i have this penile pain i went to the doctor there were no infection it just irritates me
I'm sorry to hear that you are having these symptoms. We recommend seeing a urologist or pelvic floor PT to assess and give insight on your situation as we are unable to do so.
@@Menviator are you oky now
I’ve been suffering from a pain in the head of my penis when I get erect after ejaculation for a quite some time now. Is my case muscular or nerve? When I have erection after ejaculation It feels like it is blood disorder accumulated in the glans, so much like bruised. I am thinking that this pain is due to the stretching exercises I’ve been doing. I quit 4 months back but it seems like this pain is not going away. It is lowering my confidence now. And making my erection hard to maintain. Also, the head seems to be a bit soft when I am erected. It is really frustrating. Could you share your observations doctor? And thank you so much for the video.
Unfortunately we need to evaluate you to be able to provide more clarity. If you do not live near one of our clinics we recommend scheduling an appointment with a pelvic floor PT that specializes in pelvic pain or scheduling a digital health appointment with us to try to help you troubleshoot your symptoms. It also may be useful to consult with a urologist that has a focus on sexual medicine.
@@PelvicHealth how can schedule a virtual appointment with Dr. Elizabeth?
@@Thesalamanca You can do so via our website! pelvicpainrehab.com/telehealth/
Hi Hector, any updates on your healing process?
@@MikelSteeth unfortunately not
What if it's constant pain in the tip?
Some things to rule out with your doctor include infection, skin conditions, and nerve pain. Pain at the tip may be referred from an issue in another part of the body. Physical therapy is helpful for treating tip of the penis pain.
@@PelvicHealth Ok, it went away before and then it came back but it seems to be mostly in the tip.
@@junechrisare you oky now
@@delixmulenga6631 in that regard yes. Thanks for asking ! 🤟🙏
@@junechris how did you cure it am in the same situation 😔
I am having a sudden needle pricks inside penis (not on the tip) . It comes suddenly without any warning and lasts for one or two seconds. It seems to happen mostly after some movement . Staying still doesn't trigger the pain in most occasions. There is no problem while urination and no redness on the skin ... kindly advice .
An evaluation with a pelvic floor PT would help to assess this further. You may be interested in a telehealth consultation to see if an in person evaluation would be worthwhile. pelvicpainrehab.com/telehealth/
I’ve been having this for months sometimes it gets unbearable. Have you found the cause ?
Hey facing the exact same issues for the past couple of weeks, did anybody find the solution or treatment for this??
Why are urologists do useless when I comes to penis pain?
I've seen three different urologists and they couldn't do anything
We are sorry to hear that you have not had good experiences with the providers you have seen. We would recommend finding a provider who is knowledgeable in penile pain. Here is a link to a directory of medical providers with knowledge on pelvic pain conditions: app.v1.statusplus.net/membership/provider/index?society=ipps
@@PelvicHealth I tried looking on the filter but nothing came up. I kept putting things in the name or organization colum and kept failing, etc.
@@junechris You need to plug in your address and it will bring up providers in your area. We recommend finding a urologist or pelvic floor PT. You can try this directory as well pelvicrehab.com/
@@PelvicHealth Thanks
is penis pain is cause of Cancer only ?
In my penis glance white spot and pain .
please give suggestion🙏
There are many reasons you might have penile pain. We recommend seeing a urologist or your primary care physician to get evaluated.
Go ask a male dr. Or read up on. Like she did
I have penile pain whenever i touch the penis or try to move its skin, I don't feel pain otherwise , not after and during urination too. What can be the possible cause ? Please help.
I feel pain when I don't drink enough water and sometimes when I touch the tip of the head i feel it too
Thank you for sharing with us. We would recommend the first step would to see your primary care physician for further evaluation. They may check the skin and maybe refer to a dermatologist or if it is more musculoskeletal/nerve related referral to pelvic floor pt would be a great next step. Hope this was helpful!
Guys I suffered with pudendal neuralgia for 1 year. Once STDs are ruled out, and no physical damage happened eg a fall, childbirth etc then the problem is nerve related. In most cases it is just inflammation. The solution for this is to take vitamin B12 injections to the buttocks. It works directly and doesn't go through digestion. I took 5 doses on each side of the posterior for only a month ( 2 times a week) and the pain was gone, and my pain levels were extreme. Good luck
Which doctor does b12 injections???
Is there a main difference between taking it normally than an injection??
Thank you for sharing your experience. A 2020 systematic review of 24 published articles (www.ncbi.nlm.nih.gov/pmc/articles/PMC7468922/) reveals that there is some evidence of moderate value to support that B12 therapy can reduce peripheral neuropathic pain. We suggest working with your doctor, including a pain management specialist to explore interventions such as this.
Can we talk?
@@mostarsk99 Sure wassup
My scene is that my penis gets swollen from base and amd narrow from top with slight left bend, but it happens irregularly sometimes i get boner easily
Sometimes it gets difficult due to it , also a bit of pain in leg nerves too
I did went for a urologist
He gave anti inflammation medicine
And it worked great but a month later this came again
Any take? (Also it gets cold sometimes down)
It would be a good idea to follow up with your urologist again. Without knowing more information, it can be hard to know exactly what is happening with your case. If you think there may be a pelvic floor muscle component, you can make a virtual consultation with us here: pelvicpainrehab.com/telehealth/
@@PelvicHealth i did, it got better
He gave me anerve medicine and painkiller
Thanks
My left side hurt in the middle i got no rash not soreness nothing but its constent there for a week its getting on my nerve . Ived gone to the hospital 2 days ago and told me it was a tissu trauma but he doest seem to but sure. Anyway clues ? Like i said i got nothing not redness none but when i walk and pinch it i feel it.. sooo annoying i really need youre help it start the day after my partner gave me a handjob
It's possible that the discomfort on your left side might be related to pelvic floor muscle tension or a nerve irritation that occurred as a result of the activity you described. Sometimes, even without visible signs like redness or swelling, underlying muscular or nerve issues can cause persistent pain. The fact that you notice it more when walking or applying pressure suggests it could be linked to muscle tension or a minor injury in the pelvic region, which can happen with various forms of sexual activity. Pelvic floor physical therapists are trained to assess and treat such conditions, often using techniques to relax and stretch tight muscles, improve blood flow, and reduce nerve irritation. An in-person consultation with a PFPT could provide a targeted evaluation and treatment plan to address your specific symptoms and help alleviate the annoying discomfort you're experiencing.
Are you oky now