What is the reason for pain after a long 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 fine blood vessels of the scrotum, varying in number. They all occur on the fine blood vessels. 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 situation rarely occurs. Could you please explain the connection between these three symptoms?

Doctor's answer:

Generally, the causes of testicular pain include acute orchitis and epididymitis, prostatitis, hydrocele, fungal infection, testicular cyst, varicocele, and other conditions. It is not 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 pulled by the swelling and pain of the left testicle. It is recommended that you seek an early examination of the testicles via ultrasound at a local regular hospital!

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