Patient's question:
Last night, I had sexual intercourse with my wife, but during the process, I felt a lot of pain in my penis. This isn't the first time this has happened during sexual intercourse. This month, there have been several instances where pain occurred during sexual activity. However, we do have enough foreplay.Doctor's answer:
1. Secondary phimosis: Also known as pathological or cicatricial phimosis. It is characterized by a white, ring-shaped, hardened scarred constriction band at the meatus of the prepuce. If forcibly retracted, it will cause bleeding and pain, and worsen the scar. Cicatricial phimosis often leads to recurrent balanoposthitis, exacerbating meatal stenosis. In severe cases, it may be accompanied by meatal stenosis, which is one of the symptoms of phimosis.2. Physiological phimosis: In some children, the meatus of the prepuce is narrow, causing the prepuce to swell like a bubble during urination. The urine flow is incomplete, resulting in two urination episodes and causing difficulty in urination. It often leads to balanoposthitis. Due to irritation of the prepuce and glans, it stimulates secretion and epidermal shedding, forming white smegma, which is often accumulated in the coronal sulcus and mistaken by parents as a lump.
3. Symptom three of phimosis: Phimosis and redundant prepuce in adult males without complications: Generally, there is no obvious discomfort, and urination is not significantly difficult. Severe phimosis may affect the development of the glans, causing deformation, or lead to pain during erection and difficulty in sexual intercourse. This is also a symptom of phimosis.