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Urology/penile nerve damage

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Question
I have had a problem for 2 years, of intermittent 'pinching' pain / numbness / sort of pins and needles sensation in the very tip of my penis, around the glans. Sometimes there is a dull aching sensation on the underside of the glans.
When most painful, there is a slightly raised spidery vein parallel to the glans on the right hand side. The pain generally increases a day after ejaculation.
2 events that happened in quick succession appear to have started it. First an intense burning sensation when masturbating (damage to nerve?) then a few weeks later a painful episode putting on a very tight fitting condom. 2 days later a small bump appeared next to the glans, and I have had problems ever since. It is causing me much distress.
Is this a combination of nerve and / or structural damage? Is there anything I can do to encourage the lealing process?

Answer
Steve:

The best thing to do is have it checked by your local physician.  He will look for plaques, scars and any evidence of herpes infection.  If nothing is found, then treatment is mostly waiting.  Sometimes we may recommend vitamin B-6 but it is unclear how much this helps. We do not generally have any specific agent or treatment to deal with nerve or sensation issues in the penis.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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