Sunday, February 15, 2009

Ejaculatory-genital symptom cluster

These are all anecdotal (meaning patient or practitioner observations). Notice that if you have pain in the left scrotum/testicle, then you should have left sided penile and flank pain (may be bilateral though). Focal thigh pain should also be leftsided. Most of these symptoms are indicative. If it is not sure if indicative a (Ind?) has been added at the end of the symptom/sign description.

Penile paresthesia-like symptoms:
• Penis / glans pain / discomfort (not necessarily at urination).

• Penile numbness / insensitivity to “friction” and maybe also diminished feeling of orgasm (diminished “sexual excitability”). Less noticeable in circumcised men? (Ind?).

• “Ejaculatory dyssynergia”: uncoordinated (early, unexpected, partially “failed”, “incomplete”) ejaculation.

Pain phenomena:
• Painful ejaculation (epidydimitis?).

• Groin pain / discomfort.

• Pain / discomfort from the scrotum (often referred to as testicular pain, orchialgia, or “tight trousers feeling” or “uncomfortable chair feeling”).

• Perineal spasms and pain / discomfort (lasting seconds to minutes and then disappearing completely -- this is similar to proctalgia fugax that is centerad around the anus).

• Focal thigh pain or pain down one leg associated with scrotal pain (many other possible causes though: knee problems, leg length, sciatica etc).

Other:
• Receding foreskin during flares (Ind?).

• Discoloration (bluish-whitish-pinkish mottled hue) of glans (Ind?).

• Semen abnormalities (yellowish, “watery”, non-homogenous look) (Ind?).

• Decreased / low libido. (Added march 4th 2009)

Andra bloggar om , , , ,

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