What are the reasons for pain after prolonged penile erection?

Patient's question:

Detailed medical condition and consultation purpose:
1. Hello! My penis has been erect for a long time (around 3-4 hours) after stimulation, accompanied by pain in the lower abdomen that lasts for several hours. Later, the symptoms disappear. What could be the reason?
2. Additionally, there are many small blood blisters on the capillaries of the scrotal skin, varying in number. They all occur on the capillaries. Sometimes, the scrotum may feel slightly itchy.
3. Sometimes, when urinating, there is initially a white cloudy liquid (while the rest of the urine is normal). At other times, this white liquid appears at the end of urination (while the initial urine is normal). However, this rarely happens. Could these three symptoms be related?

Doctor's answer:

Generally, the causes of testicular pain include acute epididymitis, prostatitis, hydrocele, fungal infection, testicular cyst, varicocele, and other conditions. It cannot be ruled out that the pain may be caused by orchitis or epididymitis. The radiating pain in the inner side of the left thigh is likely to be (pulling pain) from the left testicle. It is recommended that you seek an early examination at a local regular hospital for a testicular ultrasound!

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