Male Genital Pain: Major Causes and Insights

Introduction

• Discussion on male genital pain
• Learning through understanding conditions that cause pain

1. Peyronie's Disease

• Characterized by scar tissue on the dorsal side of the penis
• Results in curved erections, significant pain, erectile dysfunction, difficulty with sexual intercourse, and shortening of the penis
• Potential causes: trauma or injury leading to abnormal healing
• Symptoms range from mild to severe
• Treatment:
  • May improve on its own
  • Medications
  • Injections into scar tissue
  • Traction therapy
  • Surgery in severe cases

2. Testicular Trauma

• Common, with almost every male experiencing it
• Spectrum of events causing trauma: kicks, accidents, etc.
• Example: gym accident involving weight plates
• Experiences of sharp initial pain and referred pain to the lower abdomen
• Explanation of referred pain: sensory neurons converge in the spinal cord

3. Acute Bacterial Prostatitis

• Inflammation of the prostate due to bacterial infection (commonly E. coli)
• Symptoms: pelvic and perineal pain, fever, chills, malaise, myalgia, painful urination, increased frequency and urgency, cloudy urine
• Examination: firm, swollen, tender prostate
• Causes: UTI, chlamydia, gonorrhea, medical procedures, bladder outlet obstruction
• Treatment: antibiotics

4. Testicular Torsion

• A serious condition where a testicle rotates, twisting the spermatic cord
• Symptoms: severe pain, elevated and transversely oriented testicle, absent cremasteric reflex
• Explanation of cremasteric reflex test
• Reduced blood flow can cause necrosis, requiring prompt surgical intervention
• Treatment: detorsion surgery and orchiopexy (fixating the testicle)
• Causes: trauma, strenuous activity, spontaneous bad luck

5. Fournier's Gangrene

• Rare, serious bacterial infection causing tissue death in genital and perineal areas
• Also known as necrotizing fasciitis or flesh-eating disease
• Common bacteria: E. coli, Staphylococcus aureus, Streptococcus
• At-risk individuals: diabetics, those with indwelling catheters, urethral trauma, UTI, immunocompromised
• Symptoms: severe pain, swelling, redness, fever, chills, foul discharge, crepitus
• Treatment: broad-spectrum antibiotics, surgical debridement, supportive care

Safety Tips

• Protect genitals: wear protection when necessary
• Upcoming video on female genital pain
• Encouragement to watch other educational content by the author

Miscellaneous

• Sponsor mention: promoting an electric toothbrush (Liyen)
• Features of toothbrush: oscillation, vibrations, waterproof design, fast charging, and affordability