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Urology (Expert Forum)
mild groin/penis pain that is more pronounced with erection
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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mild groin/penis pain that is more pronounced with erection
by weylin, Oct 02, 2003 12:00AM
I just started having a problem where I have a slight pain when I have an erection, the pain seems to be inside my groin at the base of my penis. When I push the tip of my penis towards the floor (if I am standing) the pain increases a little, if I lift it up it decreases and almost goes away.
I have also noticed that I get a slight similar sensation if I tighten my PC muscles.
The erection itself is not painful nor does it last unusually long. I have no problem urinating or with orgasm. There are no bruises or any signs of trauma on my penis itself.
It seems like there is something wrong with how my penis is attached inside my groin.
I think I may have pulled a groin muscle somehow but I don't know when or how.
What should I do about this?
I have also noticed that I get a slight similar sensation if I tighten my PC muscles.
The erection itself is not painful nor does it last unusually long. I have no problem urinating or with orgasm. There are no bruises or any signs of trauma on my penis itself.
It seems like there is something wrong with how my penis is attached inside my groin.
I think I may have pulled a groin muscle somehow but I don't know when or how.
What should I do about this?
Doctor's Answer
by Kevin Pho, MD, Oct 02, 2003 12:00AM
, Oct 02, 2003 12:00AM
One consideration would be Peyronie's disease. This is a disease characterized by a plaque, or hard lump, that forms on the penis. The plaque develops on the upper or lower side of the penis in layers containing erectile tissue. It begins as a localized inflammation and can develop into a hardened scar.
The hardened plaque can reduce flexibility, causing pain and at times forcing the penis to bend or arc during erection.
You may want a referral to a urologist to see if this is the case. Treatment for this includes injected chemical agents such as collagenase, steroids, and calcium channel blockers directly into the plaques. There are no consensus statements demonstrating clear efficacy.
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.
Thanks,
Kevin, M.D.
The hardened plaque can reduce flexibility, causing pain and at times forcing the penis to bend or arc during erection.
You may want a referral to a urologist to see if this is the case. Treatment for this includes injected chemical agents such as collagenase, steroids, and calcium channel blockers directly into the plaques. There are no consensus statements demonstrating clear efficacy.
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.
Thanks,
Kevin, M.D.
I went to my doctor, initial diagnosis was thrombophlebitis of the penis (mondor's disease). Got a referral to a urologist. I started taking bromelain, a pineapple stem extract that helps (among other things) with thrombophlebitis. Within a day, the pain improved somewhat.
Went to the urologist, who said that it couldn't be thrombophlebitis, as it would have to be painful all the time, not just on arousal. He did diagnose a pulled muscle or muscles, and thought the bromelain might also be somewhat helpful for that (anti-inflammatory). Takes time to heal, warm soaks might help somewhat, he said.
I am looking into myofascial therapy, as this has helped me with other conditions and is usually something I can do myself once I figure out where the muscle to target is. Myofascial problems occur when a muscle is over-taxed. The muscle then knots up, doesn't work properly, and can refer pain locally, sometimes far away.
Here is another page that discusses the research on that type of pelvis pain:
http://aphrodisiology.com/pelvis-pain-sexual-dysfunction