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Urinary and Genital Disorders (Children)

Penis pain can it be related to stress.

12/16/2009

Question:

My son has been complaining about his penis hurting for about 8 months. He has seen two pediatric doctors and the last doctor recommended he see a Urologist. The urologist recommended surgery, to enlarge his urethral. My husband and I explained to every doctor that he only complains about the pain when he becomes upset or mad. It seems like he tenses his body, but we can`t be sure. He is only 5 so its hard for him to really state where the pain is coming from. My husband and I are feeling as if the surgery that the doctor is recommending is unrelated to the problem he complains of. He is no other symptoms, his urine stream is fine, he has no blood in the urine, and no pain when urinating. Please help.

Answer:

You may be correct that the pain is related to stress. Another common cause is constipation. This condition can cause intermittent pain in the penile shaft or tip of the penis, but not during urination. Meatal stenosis, which is treated surgically by enlarging the urinary opening, typically causes burning with urination, urinary frequency, a slow urinary stream, or a deflected stream.

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Response by:

Jack S Elder, MD, FACS, FAAP Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University