Prog Urol. 2010 Nov;20(12):958-61. Epub 2010 Oct 14.
[Symptomatic approach to chronic penile pain].
[Article in French]
Delavierre D, Rigaud J, Sibert L, Labat JJ.
Service d'urologie-andrologie, CHR La Source, 14, avenue de l'Hôpital, 45067 Orléans cedex 2, France. delav.uro@orange.fr
Abstract
OBJECTIVE: To describe the aetiologies of non-cancer chronic penile pain.
MATERIAL AND METHODS: A review of the literature was performed by searching the Medline database (National Library of Medicine). Search terms were either medical subject heading (MeSH) keywords (pain, penis, penile diseases) or terms derived from the title or abstract. Search terms were used alone or in combinations by using the "AND" operator. The literature search was conducted from 1990 to the present time.
RESULTS: Clinical interview and physical examination are essential elements of the assessment of chronic penile pain. The aetiologies of chronic penile pain include local diseases, referred pain, neuropathic pain, psychological or psychiatric disorders and penile pain syndrome. Neuropathic pain is related to compression of the dorsal nerve of the penis, derived from the pudendal nerve, at the inferior border of the pubis. This nerve compression syndrome, often associated with cycling, can also be responsible for decreased sensitivity of the glans and penis, genital paraesthesia (numbness) and sometimes erectile dysfunction. Penile pain syndrome, defined as pain located in the penis, but not due to an urethral cause, documented infection or another clinically apparent disease, is a diagnosis of exclusion.
CONCLUSION: The diagnosis of non-cancer chronic penile pain is essentially clinical. Compression of the dorsal nerve of the penis is part of the context of penile pain syndrome, corresponding to a diagnosis of exclusion.
Copyright © 2010. Published by Elsevier Masson SAS.
PMID: 21056371 [PubMed - in process]
Dorsal nerve - Penile pain/numbness
Dorsal nerve - Penile pain/numbness
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.