Pain in the tip of the penis

[DaftSaul]

Hello,

I have been having pain in the tip of my penis for six months now. I have been to various doctors a number of times, I've had several STD screenings, urine and semen analysis, and I have had a scope examination carried out on my urethra through to my bladder and prostate. In addition to all of this I have taken a rake of medicines to combat any likely causes of infection, which ended up giving me a yeast infection. However, I seem to be no closer to finding out what is causing my penis to ache.

During the scope procedure the doctor said that the very tip of the inside of my penis was red and that it looked a small bit swollen, and one of the swabs (of five different swabs- ouch!) that I had of the inside tip of my penis showed inflammation (increased white blood cell count). I am on day 9 of a two-week course of ciprofloxacin and doxycycline, but the pain, while never severe, is still present.

Has anybody gone through anything similar or have any ideas? I have another appointment with the specialist in early January, but I am not hopeful seeing as all of my appointments so far have come to nothing. Thanks very much for your help.

[DaftSaul]

Dear Dr. Santos,

Thanks very much for answering my posts. I think I accidentally put the same post up twice. Sorry about that! I have just responded to your other reply this is what I said (of course, feel free to respond to just one):

"Dear Dr. Santos,

Thank you very much for your response. My urologist examined my prostate during my cytoscope, so I think he might have ruled out prostatitis. I have completed my course of antibiotics, but my symptoms still persist. In fact, I think I can see very small little dots near the penis opening. They are not very close together, but are more obvious when the tip is quite inflamed. And in general, the tip is no longer smooth and is sort of bumpy. Do you think that this and the small dots are a result of the inflammation or the cause of it?

The intensity of the short stabs of pain waxes and wanes- yesterday was very painful, but today almost nothing.

I have had herpes and genital warts since the age of 19. It was just one wart on my foreskin and I haven't had a herpes outbreak (which usually occurs on the head of my penis) for about a year (and when I do it only lasts for about 3 days). Do you think these conditions that I already have can be causing my penis tip pain (even though I have had it for over 6 months)?

I really do appreciate your responding to my questions, as this has been worrying me for some time. I have another appointment with the urologist in the New Year, so fingers crossed that I can find some answers then. Thanks again.   "

[Dr Santos]

Hi,
How are you? What other symptoms are present?  It is good that the diagnostic tests done were normal. Pain at the penile tip may be associated with infection, prostatitis,  urethritis, and even Peyronie’s disease. If the culture was also negative, this can be caused by chronic nonbacterial prostatitis. Hot sitz baths and nonsteroidal anti-inflammatory drugs may also provide some symptom relief. Avoidance of alcohol or spicy foods may also help.  At this point, it is best that you continue the medications as prescribed and have this checked for follow-up. Take care and do keep us posted.