152
FAMILY ILLNESS
Penis problems
If you have erectile dysfunction, see p. 150 Pain or soreness of the penis that is not related to injury is often due to infection in the urinary tract or skin of the penis. Inflammation may be caused by friction during sexual intercourse. You should consult your doctor if there is any change in the appearance of the skin of the penis.
START
What is the problem?
When does the pain occur?
Blood in the semen
Blood-streaked semen is usually caused by leakage from small blood vessels in the testes or epididymis. A single episode is unlikely to be a cause for concern, but, if it recurs, you should consult your doctor. It is also important to consult your doctor if you notice a bloodstained discharge that is not related to ejaculation or if you notice blood in your urine.
Painful or sore penis
Discharge from penis
Foreskin problem
Change in appearance of erect penis
None of the above
ACTION
SEE YOUR DOCTOR WITHIN 24 HOURS or go to a clinic for sexually transmitted diseases. You may have an STD infection such as gonorrhea.
Only with an erection
Only when urinating
At other times
ACTION
DIAL 911 OR CALL EMS
! Inability to replace a retracted foreskin( paraphimosis) can restrict the blood flow.
• While waiting, place an ice pack against the affected area.
ACTION
MAKE AN APPOINTMENT TO SEE YOUR DOCTOR You may have Peyronie’ s disease, which causes curvature of the erect penis.
ACTION
GO TO ANOTHER CHART Painful urination, p. 138
How is the foreskin affected?
After retraction, cannot be replaced
After childhood, cannot be fully retracted
Balloons when urinating
None of the above
ACTION
MAKE AN APPOINTMENT TO SEE YOUR DOCTOR An abnormally tight foreskin may cause these problems.