Q. I have urinary incontinence, pain and swelling in groin lymph nodes. Kindly help.

Hello doctor,

I am 34 years old male. I started having incontinence problems about four to six months ago (cause unknown). It began with issues only happening at night while sleeping. A month ago it had progressed to occasionally not even being able to make it to the bathroom before I began to pee. Then, about four weeks or so ago, while having sex with my girlfriend, I ended up with a fairly large cut or tear right underneath the head of the penis. It has happened before.

About two to three weeks ago I somehow ended up with a UTI and yeast infection. For whatever reason, I have not taken it seriously (major depression) and two nights ago I started having pain (then ended up realizing these were little white ulcers that have since begun to spread rapidly). They are under the head of the penis, on my scrotum, and also on the shaft of my penis. Along with that, last night I realized the lymph node in my right groin was significantly swollen and painful as well. Today that became my lymph node in both my right and now my left groin as well.)

Finally, when I woke up today I had a huge swollen ring of skin, underneath the head of my penis, along with everything else. I have had this same swollen ring one time before in my life. It is seriously swollen and more ulcers are on that skin as well. I did a bit of looking at pictures online and I found a condition that is very similar looking (as far as the swollen ring goes,) called paraphimosis. However, I have been circumcised since I was a baby. So I am not thinking that is it. Anyway, I am in fairly severe pain and I am worried about the lymph nodes in my groin (left and right) being swollen, that there is some bad infection spreading in my blood throughout my body. I guess I could be simply paranoid but I went from ignoring this to now freaking out. So I do not believe that this is the case. Please help. Any ideas or thoughts or suggestions? Currently, I am on Xanax, Adderall, Prozac, Abilify, Cymbalta, Suboxone, and Atenolol.

Hi doctor,

Thanks for helping me.

Here are the answers to your questions. Yes, I have been having a lot of incontinence problems. I had unprotected, oral sex only. There are no ulcers at the site of the original cut. Just a couple on the skin of the penis, one on the scrotum, and one at the base of the penis. My lymph nodes are not visible. They are just swollen and a bit sensitive.