Patient's question:
Detailed medical condition and consultation purpose: After high-risk exposure, within less than 1 hour, the glans experienced heat and itching. Repeated rinsing had no effect. After 5 days, the hospital diagnosed it as balanitis (streptococcus), and prescribed Bactroban (10 days). Metronidazole was not taken (too expensive and has side effects). During this period, I took a box of Rifampicin (4 tablets/3 times). It had no effect, so I was prescribed Ciprofloxacin for 5 days (0.2/2). After stopping the medication for 5 days, the balanitis has improved, but there is now swelling and pain in the groin. The scrotum and perineum become hot after drinking alcohol or exertion.Duration and persistence of the current illness: High-risk exposure for 30 days
Current general condition: Swelling and pain in the groin. The scrotum and perineum become hot after drinking alcohol or exertion.
Doctor's answer:
If personal hygiene is not paid attention to, and the body's resistance is low or infection occurs in other parts, pathogens can enter the prostate, forming acute or chronic inflammation, then leading to groin pain.Left groin pain is one of the symptoms of prostatitis, and it may also cause radiating pain: The pain of chronic prostatitis is not limited to the urethra and perineum but can radiate to nearby areas, with lower back pain being the most common. Additionally, the penis, spermatic cord, scrotum, lower abdomen, groin area (thigh root), thighs, and rectum can all be affected.
It should be noted that the lower back pain caused by chronic prostatitis is located in the lower lumbar region. While it is easily confused with lower back pain caused by musculoskeletal issues, such as myofascialitis or lumbar muscle strain, the latter is often near the beltline and higher in position compared to prostatitis-induced lower back pain, making it distinguishable.
Sexual dysfunction: Chronic prostatitis can lead to decreased libido and painful ejaculation, premature ejaculation, and affect semen quality. It may also cause white discharge from the urethral opening after urination or defecation, and hematospermia may occur if combined with seminal vesiculitis.