Details:The penis is a sensitive body part (as a penis owner you already know this). The urethra ends with an opening.
Urethra:This is where urine and also ejaculate fluid comes out. If something, like soap or lotion enters, it may hurt.
Tip:This is caused by bladder infection. The medical term for bladder infection or inflammation is cystitis (page 72).Office Urology: The Clinician's Guide
Note:A bladder infection can cause pain in the distal urethra. Distal means "far," so the pain occurs at the tip of the penis.
Note 2:This is a referred pain, which means your penis hurts but your bladder is the problem.
Warning:Some conditions are painless. One interesting fact is that long-term impactions of the urethra are often painless.
Tumors, kidney stones:This includes tumors or impacted kidney stones. Not all conditions are painful.
Tumors of the genitourinary tract are usually painless unless they are locally invasive or lead to acute obstruction. (Page 72.)Office Urology: The Clinician's Guide
Far end:Pain in the distal urethra (far end of the penis or tip) is primarily listed as a bladder infection.
Note:Ischemia means an inadequate blood supply to a part of the body. Ischemia to the penis can occur. This results in pain.
Research:On page 146, we read about a 44-year-old man who has had pain at the tip of his penis for two years.
Painful:He also frequently urinates. He has painful ejaculations. This man is diagnosed with chronic prostatitis.
Thus:Prostatitis causes pain at the distal urethra—tip of penis. This is different cause from bladder infections.
Sometimes:A Botox injection at the urologist's office—in an outpatient procedure—can fix this penis pain.
Rare:In Chapter 5, we learn that penile cancer is a rare disease. I am relieved to learn that I will probably not get penis cancer.
Usually, penile cancer arises on the epithelium of the glans.Medical Therapy in UrologyHuman Papillomavirus, HPV: CDC
Info:It is usually caused by HPV, which is the human papillomavirus—also known as genital warts.
Death:Penile cancer often causes death. It is rare and occurs in 1 out of 100,000 men each year.
Tumor:Penile cancer presents with a tumor or bump, often on the glans. It is not just a painful penis head.
And:According to the Oxford Handbook of Urology, many causes of a positive cytology report exist.Oxford Handbook of Urology
Note:This simply means that cytology can detect cancer in the prostate or penis.
Further:If a person has had radiation therapy or chemotherapy, his urine test may also be abnormal. This may not indicate cancer.
Causes: Urothelial malignancy Previous radiotherapy Previous cytotoxic treatment
Irritation:If a man applies soap to his penis, as for cleaning or lubricant, this can irritate the distal urethra (the opening).
Note:This is a temporary cause of pain and should abate quickly. Please consider using a different lubricant in the future.
See:Office Urology: The Clinician's Guide, which lists inflammation as a possible cause of penile tip pain.
And:I learned of several differential diagnoses of penile discharge on page 127.
Yellow, gray:Depending on the sexually transmitted disease, the discharge may be thick yellow or gray.
Tip:The most common cause of penile discharge is gonorrhea. The second is Chlamydia, which results in a more watery discharge.
Note:If it is possible the person has gonorrhea or Chlamydia, one laboratory test that is done is a culture.
And:In a culture, a cotton swab is inserted into the tip of the penis—the distal urethra.
Tip:The areas around the penis, anus and testicles should be carefully cleaned. These are important are as to wash.