Q. My penis is hard even in a flaccid state. Kindly suggest a solution.

Answered by
Dr. Rahul Kansal
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Nov 13, 2020 and last reviewed on: Nov 28, 2020

Hello doctor,

My penis is not soft in a flaccid state. It is always a little hard even when in a flaccid state. It is also a little painful when squeezed and after sexual activity. The color of my semen is always mild yellow. When I urinate, it takes four or five minutes to empty the bladder. It comes out fully, but then the last bit takes longer. I feel like the muscles in that area are constantly tight. My testicles get sore easily if they are squashed or I sleep on them.

It feels like the penis is constantly engorged with extra blood flow and makes me feel aroused when I do not want to. For instance, when I urinate, even its touching seems to stimulate it easily, with no sexual thoughts. But if I have a sexual thought on other occasions, it also responds very quickly without much time. I only have very little control over it.

When it get erect for the sexual activity, it does not feel the same sensation as it used to. Instead, it feels rubbery. It never used to be this way previously. I also find that the unwanted erections and hard flaccid state are much worse for three days after sexual activity. It never goes away, but it is terrible in those days. Because it is firm and looks semi-hard under my clothing, it can cause a great deal of embarrassment and unwanted impressions. Please help.

Dr. Rahul Kansal

Andrology Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hello,

Welcome to icliniq.com.

Your describing symptoms are suggestive of an infection (epididymo-orchitis). Please state the exact duration of these symptoms. Get a urine routine and microscopy test by giving your urine sample.

A repeat ultrasound scrotum (testicles) would also be advised. These two reports will define your condition correctly and help in diagnosis.

I would suggest the following medicine course to treat it prophylactically.

1. Tablet Cefpodoxime 200 mg twice a day.

2. Capsule Pantoprazole 20 mg twice a day.

3. Tablet Diclofenac 50 mg (SOS) for tenderness or swelling.

Follow up after seven days of following this course of treatment.


Was this answer helpful?

 | 

Thank you doctor,

I have had a problem with my testicles for the last four years. And the issues with the penis for two to three years. The penis has a slight twist to the left, which it never used to be before. It looks damaged. I have sent the photos and videos to show the thickness and hardness of the shaft.

Dr. Rahul Kansal

Andrology Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hello,

Welcome back to icliniq.com.

I have seen the attachment (attachment removed to protect patient identity).

Hardness or fibrous band needs physical examination. Chronic pelvic pain can affect genitalia is also a differential diagnosis.

Let us follow this course of treatment and get the required tests to move forward with our diagnosis. Both of them will help in making a more definitive

diagnosis.

Chronic pelvic pain treatment is different. Treatment may also last for six months to a year. Let us follow up with the test reports and report of response to prophylactic antibiotics.


Was this answer helpful?

 | 

Thank you doctor,

I will try the antibiotic treatment. I am wondering though are you psychiatrist, you do male genital prescriptions. Thank you.

Dr. Rahul Kansal

Andrology Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hello,

Welcome back to icliniq.com.

Sexology practice routinely involves the treatment of genital infections. I have an offline practice in Sexology. It is a prophylactic antibiotic treatment to see the response to this management. Tests are mandatory before making a definitive diagnosis.


Was this answer helpful?

 | 

Thank you doctor,

I have done some tests for STDs. Please tell me what other tests should be done? I will also get an ultrasound on testicles as per your previous recommendation. Should I begin antibiotics yet, or wait for more tests? Here are the first test results are taken from the urine sample.

Dr. Rahul Kansal

Andrology Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hello,

Welcome back to icliniq.com.

I have seen the report (attachment removed to protect patient identity).

There is no sign of an infection by urine PCR (polymerase chain reaction) for the four most common organisms. There seems to be no need for an antibiotic course now as the test has ruled out any trace or evidence of infection.

Let us go through the US (ultrasound) scrotum and penile Doppler next to get an inside look at your problem by an imaging test.


Investigations to be done:

US scrotum. Penile Doppler US.


Was this answer helpful?

 | 

Thank you doctor,

I had an ultrasound done to my penis already. They claim nothing unusual. But when I urinate, it can often come out sideways. Although I have noticed an improvement in that it happened for some years. I can probably find and send an ultrasound of the penis, but found nothing.

Dr. Rahul Kansal

Andrology Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hello,

Welcome back to icliniq.com.

I have analyzed your case history and test reports thoroughly. Only two likely diagnoses come to my mind that can medically explain your unique symptoms now.

1. Prostate problems.

2. Stress-related pelvic muscle tension.

So go for the underlying tests to diagnose your symptoms.

1. Penile ultrasound.

2. Trans-rectal ultrasound (to look for prostate issues regarding your urinary symptoms).

3. DRE (digital rectal examination) by a GP who can assess or physically examine the prostate's size.

4. PSA (prostate-specific antigen).

Suppose the conditions of the penis and prostate are ruled out. We can proceed with the treatment of condition stress-related pelvic muscle tension.


Was this answer helpful?

 | 

Thank you doctor,

I had the scrotum US done yesterday. The radiologist found nothing unusual. He said he would send off the footage for another doctor to double-check it.

Regarding these items.

1. Penile ultrasound - the penis was scanned with MRI, and the report was nothing unusual.

2. Trans-rectal ultrasound - I will ask my doctor to give me a referral for this then?

3. DRE - Last year, my urologist did this and said my prostate was enlarged.

4. PSA - I will check and see if there is a test already done. If not, I will get a referral.

Dr. Rahul Kansal

Andrology Psychiatry Psychologist/ Counsellor Psychotherapy Sexology
#

Hello,

Welcome back to icliniq.com.

Every complaint needs a thorough and detailed assessment. Only after all this assessment we can reach a definitive diagnosis.


Was this answer helpful?

 | 

Related Questions:
There is a black mass on my penile shaft seen when the foreskin is pulled down. Please help.
How to differentiate symptoms of testicular cancer from varicocele?
How to manage pain in penis?
Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What can cause the penis to tingle?

Query: Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burnin...  Read Full »

Is an ultrasound not essential to detect the cause of lump in testicle?

Query: Hello doctor, My 24 year old son discovered a small lump in his testicle about a month ago. He saw a urologist immediately who did a physical exam, drew some blood and took a urine specimen. He said that the lump was located on the back of the testicle and most likely a benign cyst. We had a follow...  Read Full »

How can I manage urinary urge and incontinence?

Query: Hello doctor, I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found...  Read Full »

Also Read


Holiday Season During the Pandemic
Most of us wonder if there is a way to celebrate the holiday season during the COVID-19 pandemic safely. Here are some i...  Read more»
What should I take to relieve Flagyl induced constipation?
Hello doctor, I am a 29-year-old female. I am trying to overcome constipation caused by the Flagyl antibiotic, and I do...  Read more»
How long should my dad continue the same dosage of medicines after a stent surgery?
Hello doctor, My father had a heart stent operation six months ago. Doctor prescribed some medicines, and still, he is u...  Read more»

Ask your health query to a doctor online?

Ask an Andrologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.