HomeAnswersUrologypeyronie's diseaseDoes the pain in my penis shaft increase during masturbation?

I have pain on the left side of my penis shaft, which increases during masturbation. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Preetha. J

Published At November 4, 2020
Reviewed AtOctober 9, 2023

Patient's Query

Hello doctor,

I am a 28-year-old male, who is 5.7 feet tall and weighs about 135 lbs. I am experiencing pain along the shaft on the left side of my penis. The pain is relatively mild but increases following masturbation. It seems to follow two veins, one parallel to the urethra and the other one that curves over the top. After masturbation, my penis remains sore for several hours. There is no visible discoloration or deformity along the shaft, but the head seems to have twisted slightly toward the right. Erections are normal and do not cause pain, but occasionally I get an hourglass penis shape if I attempt to force a second erection shortly after ejaculating. There is also a red spot at the bottom of my glans. It looks like a burn and feels tender to the touch, which causes mild pain and occasional itching. I have tested negative for all STDs and UTIs. A dermatologist suggested that it is Psoriasis, but it does not look that way to me. There is no peeling involved and no patches on my elbows or knees. I have had the red spot for almost two years, along with the twisting and curvature. The severity of all symptoms has increased significantly since the beginning of the pandemic and staying home. Perhaps stress and lack of exercise have something to do with it. Two years back, a doctor suggested to me that I may have prostatitis following a rectal examination. I experience occasional burning in the prostate, weak stream, and painful urination, especially after consuming junk food or stressing. A liter of water clears those symptoms. I do have redness and peeling around my nose, though, and suffer from seborrheic dermatitis. What can be my issue, thrombosis, Peyronie's, or prostatitis? Are there any home remedies that can alleviate or cure these issues (diet or exercise), or any vitamins or oils should be taken?

Hi,

Welcome to icliniq.com.

I can summarize your issues with, pain on the left side of the penis and slight curvature towards the right side, red spot on the glans penis, and prostatitis. Firstly, pain on one side and slight curvature indicate Peyronie's disease, which is still not stabilized, and it takes six months to be painless and for curvature to be stabilized. At that time, it can be treated appropriately, not at this stage. Usually, now you can take symptomatic treatment like over counter pain killers if disturbing pain and wait for it to stabilize so I can give you options for treatment. The red spot on the penis seems to be inflammation and infection of the glans penis. You will need oral Ciprofloxacin 500 mg twice daily for one week and clean, dry area, and apply Fucidin (Fusidic acid) cream twice daily for one week. Prostatitis will need to get semen for culture to find the type of bacteria. Please send semen for culture before you start taking Ciprofloxacin. Please notify me results of the semen culture then I can prescribe for your prostatitis treatment. Regarding oils, I encourage the local application of olive oil. Please continue to follow-up. If you have any more queries, please do not hesitate to ask.

Kind regards.

Patient's Query

Hi doctor,

Thank you for your reply.

Does this look like cancer? Regarding Peyronie's, from what I understand, it is possible to stabilize without causing permanent scarring, in which case it will reverse and resolve within a year. Is there anything I can do to prevent further damage and scarring? Will the curve worsen while it stabilizes? I also hear that stretching, warm water soaks, and consumption of Vitamin E and coffee are all natural treatments to reverse the disease. Supposedly enzymes Serrapeptase, Nattokinase and Seaprose also can break down scar tissue and restore perfect functionality. Is there any validity to these claims? I do not want to consider surgery of any kind.

Hi,

Welcome back to icliniq.com.

We organize things now. Firstly at this stage of pain means there is inflammation, and no active treatment should be given. Precautions can be taken by avoiding any friction on the penis like masturbation in this period. Antioxidants and vitamin E oral intake can reduce the amount of fibrosis. Injections of collagenases to the scar later after stabilizing if the scar formed will be very useful, which I use with my patients. Other sorts of treatment can be shockwave, but all those options will be after stabilizing means once the scar is formed and no more pain. The fate of this inflammation now will be complete resolution without a scar at all, then no need for any treatment or scar formation. If a scar is formed, treatment again depends on the degree of fibrosis and curvature. If mild curvature, then as I said, ESWL (Extracorporeal shock wave lithotripsy) or collagenases will be enough. For above 60 degrees curvature on erection, then you need surgery. From your picture, it seems very mild, and I hope it will resolve without a scar. Once pain is gone, please send me pictures on erect position and flaccid to plan further if you have curvature. If you have any more queries, please do not hesitate to ask.

Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

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