[50M] Experiencing penile irritation and frequent urination

Patient Description

A 50-year-old male reports a 7-day history of constant penile irritation characterized by itching and frequent urination. The patient notes relief of symptoms during sleep and denies the presence of any rash, lesions, or changes in skin color or texture on the penis. There is no associated fever, back pain, or dysuria. The patient has had recent unprotected oral sexual contact. He reports no known drug allergies, is not on any medications, and has no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. UTIs can cause frequent urination and discomfort, but usually also cause pain or burning sensation during urination, which you did not report.

    • Treatment typically involves antibiotics prescribed by a healthcare professional.
  • Sexually Transmitted Infections (STIs): Some STIs can cause penile irritation and frequent urination. Given your recent unprotected oral sex, this could be a possibility. Common STIs include gonorrhea, chlamydia, and herpes.

    • Treatment typically involves antibiotics or antiviral medications, depending on the specific STI.
  • Balanitis: This is an inflammation of the head of the penis. It can cause itching, irritation, and frequent urination. It's more common in uncircumcised men and can be caused by poor hygiene, irritation, or infections.

    • Treatment typically involves good hygiene, avoiding irritants, and sometimes topical creams or antibiotics.

What you can do

  1. Seek medical attention: Given your symptoms and recent unprotected sex, it's important to see a healthcare professional for a proper diagnosis and treatment. They may need to perform tests to determine the cause of your symptoms.

  2. Practice good hygiene: Clean the area with mild soap and warm water. Avoid using any products that could potentially irritate the area.

  3. Stay hydrated: Drinking plenty of water can help flush out your urinary system and may help alleviate some of your symptoms.

What you should look out for

  • If your symptoms worsen or do not improve in the next few days, seek medical attention immediately.
  • If you develop additional symptoms such as pain during urination, discharge from the penis, or fever, seek medical attention immediately.

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI) in men?

Common symptoms of a UTI in men include frequent urination, a strong urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and sometimes pelvic pain. However, not all symptoms may be present in every case.


Can sexually transmitted infections (STIs) cause frequent urination and penile irritation?

Yes, certain STIs such as gonorrhea and chlamydia can cause symptoms like frequent urination and penile irritation. It's important to get tested if you've had unprotected sexual contact and are experiencing these symptoms.


What is balanitis and how is it treated?

Balanitis is an inflammation of the head of the penis, often causing itching, irritation, and sometimes swelling. It can be treated with good hygiene, avoiding irritants, and using topical creams or antibiotics if an infection is present.


How can I prevent infections after having unprotected oral sex?

To prevent infections after unprotected oral sex, consider using protection such as condoms or dental dams, maintain good personal hygiene, and get regular STI screenings if you are sexually active with multiple partners.


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