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Q&A

Answered by Dr. Saurabh S Pandya

There is a small painlessbump underneath the shaft of penis. What it could be?

Hello, Welcome to icliniq.com. It looks like you had a small blood clot, which caused the lump, and some of it tracked up to the skin to cause the bruising. This may have been due to excessive force during the act. Usually, the skin discoloration goes first. The lump may go away in a few days.

June 24, 2026

Is it common to experience pain, soreness, and tenderness in the penis after engaging in multiple sexual intercourse?

Hi, Welcome to icliniq.com. I went through your query and understood your concern. It seems like soreness. STDs (sexually transmitted diseases) take at least four to five days to develop, and there would be the formation of rash, ulceration, or burning sensation during urination. So, I would not worry right now.

June 8, 2026

What causes an increase in prostate-specific antigen post-radiotherapy?

Hello, Welcome to icliniq.com. Your PSA (prostate-specific antigen) has been rising post-radiotherapy. Since it is above 2.0 ng/mL, I suggest you go for a PSMA PET (prostrate-specific membrane antigen positron emission tomography) scan. This will show any recurrence in the prostate or lymph nodes or elsewhere.

June 3, 2026

What do blood and blood clots in urine indicate?

Hi,Welcome to icliniq.com.Blood in urine usually occurs due to an infection or a stone. Since your reports are regular, there can be a mild infection, or it can be a small stone that has not caused any pain. I suggest you visit a urologist and get a CT scan of the KUB (kidneys, ureter, and urinary bladder) region done. If the results are healthy and if there is no bleeding, probably there is nothing to be done.

June 2, 2026

My father has bladder spasms after a bladder scraping. How to get rid of it?

Hello, Welcome to icliniq.com. The bladder spasm could be due to infection, coexisting enlarged prostate, or any intra-bladder chemo medicine given after surgery. Treating his disease is the first step. Urine cultures will help. Giving anticholinergics is next step to relax the bladder.

May 29, 2026

Which antibiotic works best with minimum side effects for an UTI?

Hi, Welcome to icliniq.com. I understand your concern. At your age, spontaneous urine infections are common. Also, they can occur after a sexual encounter. If there is a recent history of sexual activity (unprotected), you need to consult a gynecologist or urologist and get basic tests done.

March 23, 2026

Pain and sensitivity during erection and sex. Why?

Hello, Welcome to icliniq.com. I understand your concern. Pain at the tip during erection can be due to a tight frenulum: this is a skin fold at the tip on the lower side of the foreskin. This needs a frenuloplasty. Partial phimosis: This prevents retraction of the foreskin during intercourse and may cause pain, especially seen in diabetics.

March 3, 2026

Is it a must to undergo surgery for enlarged prostate?

Hi, Welcome to icliniq.com. Your father was on medication and had a history of urine retention in the past. Currently, he is on a catheter. The chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate) for his prostate.

January 30, 2026

How to manage rising PSA after Leuprolide discontinuation?

Hello,Welcome to icliniq.com.I reviewed your query (attachments removed to protect the patient's identity) and understand your concern.You received post-surgery radiotherapy and were started on Leuprolide, which suggests that either your lymph nodes or surgical margins were positive, or there was a prior rise in PSA (prostate-specific antigen). Based on this, I recommend continuing Leuprolide. Your PSA remained well controlled for many years and increased only after stopping Leuprolide, which indicates that the tumor is still hormone-sensitive.

December 11, 2025

Does varicocele surgery cause any side effects?

Hi, Welcome to icliniq.com. Problems in erection with PE premature ejaculation and poor stream suggest prostatitis (inflammation of prostate gland). Please get a routine urine microscopic examination done along with ultrasonography of kidney, ureter and bladder (KUB) + prostate. A per rectal examination will also help diagnose if you have prostatitis. Erection and PE issues can be treated with medications.

August 25, 2025

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