Penis pain Assessment Questionnaire

Why: to determine if acute or chronic.

Why: must consider kidney stones, appendicitis, anxiety, chancroid and herpes simplex.

Why: must consider Peyronie's disease or priapism.

Why: If not, suggests priapism.

Why: Some possible causes of painful intercourse for men include an unlubricated partner, penile skin infection, penile Candida infection, genital herpes, Peyronie's disease and prostatitis.

Why: may suggest urethritis (due to Chlamydia or gonorrhea), cystitis (infection of the bladder), bladder stone, prostatitis, urethral stricture, bladder cancer, anal fissure or hemorrhoids.

Why: must consider chronic prostatitis, anal fissure, hemorrhoids or bladder stones.

Why: e.g. hygiene products, laundry detergents, soaps, latex condoms.

Why: e.g. soaps, laundry detergents, hygiene products, latex allergy from latex condoms.

Why: Excessive masturbation may cause a mechanical urethritis (inflammation of the urethra) and consequent penis pain.

Why: e.g. cycling, horse riding, trauma during intercourse or oral sex - Injury to the urethra may cause a mechanical urethritis (inflammation of the urethra) and consequent penile pain.

Why: e.g. priapism may be associated with leukemia, metastatic cancer, sickle cell anemia or spinal cord injuries; Peyronie's disease may be associated with Dupuytren's contracture of the hand and premature atherosclerosis (hardening of the arteries); Candida infection of the penis may be associated with diabetes, obesity, AIDS, Sjogren's syndrome, Severe combined immunodeficiency (SCID), Wiskott-Aldrich syndrome, polyendocrine deficiency syndrome type 1 or bone marrow transplant; Reiter's syndrome may follow a bacterial bowel infection or non-gonococcal urethritis.

Why: e.g. priapism may be associated with prostaglandin injections for impotence, anticoagulant medications, phenothiazines and some blood pressure medications; corticosteroids, cancer cytotoxic drugs, antibiotics can predispose to penile Candida infections.

Why: especially if involved in unsafe sex without condoms when not in a monogamous relationship which will increase the risk of sexually transmitted diseases such as herpes simplex, urethritis (due to gonorrhea or Chlamydia), chancroid and AIDS.

Why: suggests Peyronie's disease.

Why: painful genital ulcers usually suggest herpes simplex virus 1 or 2. A less common cause of painful genital ulcers include chancroid (Haemophilus decreyi). Note that the primary chancre of syphilis is often painless, donovanosis (granulomona inguinale due to calymmatobacterium granulomatis) is relatively painless and lymphogranuloma venereum (due to Chlamydia trachomatis) is usually painless.

Why: would suggest urethritis.

Why: suggests Balanitis (inflammation of the foreskin). This may be due to bacterial infection or Candida infection. People with diabetes and infants with wet nappies are particularly prone to this problem.

Why: e.g. pain and crooked deformity of the penis with erections; abnormal curvature of the erect penis.

Why: e.g. prolonged painful erection occurs, usually not associated with sexual stimulation. May be associated with leukemia, metastatic cancer, sickle cell anemia or trauma. In most cases, the cause is unknown.

Why: e.g. foreskin is retracted, tight, swollen and painful. Typically occurs when the penis is erect.

Why: e.g. pain with urination, weak urine stream, urinary retention (unable to urinate), urinary tract infection, erectile difficulty, pain with ejaculation, symptoms of metastases (weight loss, bone pain, numbness or weakness in legs).

Why: e.g. with the first attack there is a tingling or burning feeling in the genital area, then a crop of small vesicles appear and then burst after 24 hours to leave small red painful ulcers which then form scabs and heal. The glands in the groin can become swollen and tender and the person may feel unwell and have a fever. May have difficulty or pain with passing urine. With recurrent attacks, symptoms usually become milder.

Why: e.g. pus-like urethral discharge, pain and stinging with urination, redness around the opening of the urethra. Symptoms usually develop a few days after sexual contact. Males who have sexual intercourse with males may also have a discharge from the anus.

Why: e.g. mucous-like or watery or pus-like urethral discharge which usually develops 1-3 weeks after sexual intercourse; mild stinging of the urine and discomfort in the urethra.

Why: e.g. urethritis (painful urination with penile discharge), conjunctivitis (red painful eyes) and painful peripheral joints. Skin lesions on palms, soles, penis and mouth.

Why: e.g. blood stained or foul smelling discharge from a lesion on the penis. The lesion is usually a nodular warty growth or an ulcer which may be painful especially if it is infected. There may also be enlarged lymph nodes in the groin. Cancer of the penis is rarely seen in uncircumcised men.

Why: e.g. soreness, irritation and a discharge from under the folds of the foreskin, swelling of the foreskin. May be caused by complications of gonorrhea, trichomoniasis, candidiasis, herpes simplex, syphilis, Reiter's syndrome, contact dermatitis, psoriasis, lichen planus or seborrheic dermatitis.