Penis pain and penis curvature
Hello, I am male, 60 years old. In October 2016, I underwent surgery for rectal cancer. Following the operation, a genetic defect was diagnosed in me. HNPCC. I have had significant stool problems since the operation, in terms of frequency and consistency. For about 2 years now, I have been taking Loperamide every 2 days. This has helped somewhat. I have regular check-ups with an oncologist. In February 2020, I felt like I had a foreign object in the shaft of my left penis, accompanied by a constant pulling sensation around the glans and frequent urination, so I went to a urologist. The urologist had no idea about this, he said.
During that visit, I also had a PSA test done after 5 years. Five years ago, the value was 6.5. Five years ago, I already had an enlarged prostate and have had erectile dysfunction for almost 20 years. The PSA value in March 2020 was 10.0 and a microhematuria was diagnosed in the urine. I was prescribed 10 days of antibiotics. Prostate is about 67 ml in size. After that, PSA value was 8.0 but there was still blood in the urine. In April 2020, I went to a nephrologist, who then performed a cystoscopy. The nephrologist identified the blood cells in the urine as coming from both before and after the kidney. Additionally, he diagnosed me with Type 2 diabetes mellitus, high blood pressure, two kidney cysts, a prominent pancreas head, and large kidneys. The cystoscopy did not reveal any new findings. A prostate lobe protrudes into the urethra. I have lost about 8 kg in weight since May 2020 and I want to lose another 5 kg. I am 184 cm tall and now weigh 90 kg. Blood pressure, as measured by a 24-hour monitor and myself almost daily, has not been confirmed to be high. It fluctuates between 130/90 and 125/85 in the early mornings. Fasting blood sugar levels range between 125 and 150 mg/dl, and drop to 102 or 105 mg/dl 2.5 hours after a meal. About 1.5 weeks after the cystoscopy, I experienced severe pain at the urethral meatus and had a fever of 39.8°. The doctor on call prescribed me antibiotics for 7 days on a Saturday, and the urologist prescribed another 14 days of antibiotics. The symptoms improved significantly, but did not completely go away. Four weeks later, I had another PSA check, which showed a value of 6.5. I declined to have a prostate biopsy. Since August, I have been taking 1 Tamsulosin daily. It works so-so. In two weeks, in mid-November 2020, I will have a prostate MRI instead of a biopsy. The penile pain has remained, sometimes stronger, sometimes weaker. The doctor says it could be a late effect of the rectal surgery and may be chronic. Since around July 2020, I have also had a penile curvature, bending upwards (about 30°) when erect. The curvature is likely due to a plaque buildup. It sometimes goes away on its own, sometimes not. Surgery is possible but not promising, the doctor says. The pulling sensation around the glans and the frequent stinging in the penile tip persist. Some days, my entire lower abdomen feels like I have a roll of barbed wire in it. I am completely exhausted on those days and feel very unwell. I take 1-2 Ibuprofen 400mg almost daily for the pain. The doctor says it's fine to do so, but there's not much more to be done.
I am completely dissatisfied with this situation. It seems that the urologists are fixated on the prostate. Treating urologist, urologist's substitute, and hospital urologist during the pre-MRI examination. I don't understand why exactly? Enlarged prostate, higher PSA value, case closed. Reference value is 4.0. But rectal cancer, HNPCC, it could be any type of cancer. No, I don't think so. I have thought about going to a different urologist and not mentioning my previous conditions. However, I am afraid that after the first examination and finding of "enlarged prostate", the same unproductive and unsatisfactory process will start all over again. I will go through with the scheduled MRI examination of the prostate. After that, I will not continue. Since February 2020, I have wanted to have my penis treated
