Seven problems you might experience with your penis

April 30, 2019
Healthcaretoday, penis, foreskin, urethral discharge, blood in urine, blood in sperm, prostate, painful urination, testicular swelling,
Penis health is an important part of your health — and it goes beyond your ability to get and keep an erection, ejaculate and reproduce.
By Dr Poongkodi Nagappan,
Visiting Consultant Urologist,
Pantai Hospital Kuala Lumpur.
​Many men don't know much about the workings of their penis, and most of us don't worry much about its general well-being either. This lack of awareness is surprising, considering how important it tends to be to most of us. However, various issues can arise that warrant attention.

Common disorders affecting the penis
There are several disorders that can afflict the penis, each with its own symptoms and treatment options. Understanding these conditions can help men take better care of their reproductive health.

1. Tight foreskin (Phimosis)
Phimosis is a condition where the foreskin is too tight to be pulled back over the head of the penis. This can lead to discomfort, hygiene issues, and potential complications if not addressed. Treatment options include:
  • Topical treatments: Creams, gels, or ointments can help loosen the foreskin.
  • Surgical options: In severe cases, a circumcision may be recommended to alleviate the issue permanently.

2. Urethral discharge
Urethral discharge refers to any fluid that comes out of the opening of the penis, aside from urine or semen. This condition can indicate an underlying issue, such as:
  • Infections: Often resulting from sexually transmitted infections (STIs) like gonorrhea or chlamydia.
  • Irritation: Non-infectious causes, such as irritation from soaps or other products, can also lead to discharge.
If you experience this symptom, it’s essential to consult a healthcare provider for diagnosis and treatment.

3. Blood in urine
Blood in urine, or hematuria, can be a serious sign of underlying health issues, including:
  • Urinary tract infections (UTIs): Bacteria entering through the urethra can lead to infections that cause blood to appear in urine.
  • Kidney stones: These can cause bleeding as they pass through the urinary tract.
  • Tumors: Both benign and malignant tumors can lead to hematuria.
This symptom requires immediate medical attention to determine the cause and appropriate treatment.

4. Blood in sperm
Hematospermia, or blood in the semen, can be alarming but is often benign. Potential causes include:
  • Prostate biopsy: A common procedure that can lead to temporary bleeding.
  • Infections: Such as prostatitis or sexually transmitted infections.
  • Anatomical abnormalities: Structural issues within the reproductive system can also contribute to this condition.
Consulting a urologist is advisable for proper evaluation and management.

5. Poor urine flow
Poor urine flow can manifest as dribbling, a weak stream, or difficulty initiating urination. The most common cause in older men is an enlarged prostate, which can lead to:
  • Benign Prostatic Hyperplasia (BPH): A non-cancerous enlargement that can obstruct urine flow.
  • Urinary tract infections: These can also lead to urinary hesitancy and discomfort.
Lifestyle changes, medications, or surgical options may be necessary depending on the severity.

6. Painful urination
Experiencing stinging, burning, or painful sensations while urinating can significantly impact quality of life. This symptom may indicate:
  • Infections: Such as UTIs or sexually transmitted infections.
  • Inflammation: Conditions like prostatitis can also result in painful urination.
Prompt medical evaluation is essential to identify the underlying cause and initiate appropriate treatment.

7. Painless testicular swelling
Painless swelling of the testicles can initially seem harmless but may indicate more serious conditions as it progresses. Possible causes include:
  • Hydrocele: Accumulation of fluid around the testicle.
  • Varicocele: Enlargement of veins within the scrotum.
While often benign, if the swelling becomes large or tense, treatment may involve surgical removal of the tunica vaginalis to alleviate discomfort and prevent complications.

Awareness of these common penile disorders is crucial for maintaining men's health. Regular check-ups and open discussions with healthcare providers can help address any concerns and ensure early detection and treatment of potential issues. Remember, taking care of your reproductive health is just as important as any other aspect of your well-being.

EXPLORE FURTHER

From broke to bespoke: A gentleman’s guide to old money looks

​Dress like a million bucks without spending more than RM50

Empowering men's health: The essential guide to managing metabolic syndrome

​Are you aware of these early kidney warning signs in MetS?

The quiet struggle of male breadwinners: Challenging traditional gender roles and expectations

Male breadwinners rooted in Asian cultural traditions

Toxic masculinity can be destructive to men's mental health

​Suicide rates have increased significantly for males in Malaysia between 2014 and 2019

Are e-cigarettes and vaping a 'healthier' option?

​The nicotine level in e-cigarettes is found to be double

​Addiction in men: Understanding the challenges and finding support​​

​Facing unique challenges including societal pressures to appear strong

​​​Should you get your ear pierced? Exploring public perception and earlobe changes with age

​Learn about age-related changes in the earlobe

Is a curved penis normal?

​Peyronie’s disease is a disorder in which the penis bends or curves because of fibrotic scar

Understanding priapism: Causes, symptoms and treatment of painful prolonged erections

​Having an erection for more than 4 hours can be a painful experience

​Penile siliconoma: Complications of unregulated penile augmentation

Penis fillers are gaining popularity among Malaysians and foreign workers

The gender gap in health: Changing the perception of men's health

​​Most men prefer to suffer in silence as they see sickness as a sign of weakness

Have trouble peeing?

​An enlarged prostate gland can cause reduction in flow, longer to initiate a urine stream