Male genital problems and injuries can
occur fairly easily since the
scrotum and penis are not protected by bones. Genital
problems and injuries most commonly occur during:
Sports or recreational activities, such as
mountain biking, soccer, or baseball.
Work-related tasks, such as
exposure to irritating chemicals.
Falls.
A genital injury often causes severe pain that usually goes
away quickly without causing permanent damage. Home treatment is usually all
that is needed for minor problems or injuries. Pain, swelling, bruising, or
rashes that are present with other symptoms may be a cause for concern.
Male genital conditions
Testicular cancer. This is the most
common cancer in men 15 to 35 years old. Testicular cancer is more common in
white men than in black men. Many growths in the scrotum or testicles are not
cancer (benign). However, a painless lump in a testicle may be a sign of
cancer.
An
erection problem. This may occur when blood vessels
that supply the penis are injured. A man may not be able to have an erection
(erectile dysfunction), or the erection may not go away naturally (priapism),
which is a medical emergency.
Torsion of a testicle. This occurs when a testicle twists on the spermatic cord and
cuts off the blood supply to the testicle. This is a medical emergency.
Scrotal problems. These problems may include a painless buildup of
fluid around one or both testicles (hydrocele) or
an enlarged vein (varicose vein) in the scrotum (varicocele).
Usually these are minor problems but may need to be evaluated by your health
professional.
Problems with the foreskin of an uncircumcised
penis. Conditions that makes it difficult to pull the foreskin back from the
head of the penis (phimosis) or that prevents a tightened,
retracted foreskin from returning to its normal position over the head of the
penis (paraphimosis) need to be evaluated.
Hypospadias. This is a common birth defect where the
urethra does not extend to the tip of the
penis.
Undescended testicles (cryptorchidism).
This occurs when one or both testicles have not moved down into the
scrotum.
An
inguinal hernia. A hernia occurs when a small portion
of the bowel bulges out through the inguinal canal into the
groin.
A
kidney stone. A stone forms from minerals in urine
that crystallize and harden. Kidney stones are usually painless while they
remain in the kidney, but they can cause severe pain as they break loose and
travel through narrow tubes to exit the body.
A
sebaceous cyst. A cyst that is filled with a
cheeselike, greasy material may develop beneath the outer layer of the skin in
the scrotum.
Infections
Infections can occur in any area of the
genitals, including:
Rashes in the groin area have
many causes, such as ringworm or yeast. Most rashes
can be treated at home.
A rash may be the first symptom of a
sexually transmitted disease (STD). If you may have
been exposed to an STD, do not have sexual contact or activity until you have
been evaluated by your health professional. This will reduce the risk of
spreading a possible infection to your sex partner. Your sex partner may also
need to be evaluated and treated.
Male genital problems may be related to whether the
penis is circumcised or not. For more information, see
the topic
Circumcision.
Little boys may play with
toys or other objects near their penis and accidentally cause an injury.
Anything wrapped around the penis or an object in the penis needs immediate
evaluation to avoid problems.
If you use a urinary catheter to
drain your bladder, your health professional will give you instructions on when
to call to report problems. Be sure to follow the instructions your health
professional gave you.
Review the Emergencies and Check Your
Symptoms sections to determine if and when you need to see a health
professional.
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
If you have any of the following
symptoms, evaluate those symptoms first.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have signs of infection in your
genital area, do not have sexual contact or activity until you have been
evaluated by your health professional. This will reduce the risk of spreading a
possible infection to your partner. Your sex partner may also need to be
evaluated and treated.
Call your health professional immediately if you answer "Yes" to
any of the following questions.
Has an erection problem developed after you started taking a new medicine
or changed the dose of a medicine? Note: If your answer
is "Yes":
Call the health professional who
prescribed the medicine the same day, before your next dose, to determine
whether you should stop taking the medicine or take a different one. An
appointment may not be necessary.
If you are taking a
nonprescription medicine, stop taking it. If you feel you need to continue
taking the medicine, call your doctor.
You need an appointment within the next 1 to 2 weeks if you answer "Yes" to
any of the following questions.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have abnormal discharge from your
penis, do not have sexual contact or activity until you have been evaluated by
your health professional. This will reduce the risk of spreading a possible
infection to your sex partner. Your sex partner may also need to be evaluated
and treated.
Call your health professional today if you answer "Yes" to
any of the following questions.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have a rash or growths on your penis
or scrotum, do not have sexual contact or activity until you have been
evaluated by your health professional. This will reduce the risk of spreading a
possible infection to your partner. Your sex partner may also need to be
evaluated and treated.
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
any of the following questions.
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
If you have any of the following
symptoms, evaluate those symptoms first.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have signs of infection in your
genital area, do not have sexual contact or activity until you have been
evaluated by your health professional. This will reduce the risk of spreading a
possible infection to your partner. Your sex partner may also need to be
evaluated and treated.
Call your health professional immediately if you answer "Yes" to
any of the following questions.
Has an erection problem developed after you started taking a new medicine
or changed the dose of a medicine? Note: If your answer
is "Yes":
Call the health professional who
prescribed the medicine the same day, before your next dose, to determine
whether you should stop taking the medicine or take a different one. An
appointment may not be necessary.
If you are taking a
nonprescription medicine, stop taking it. If you feel you need to continue
taking the medicine, call your doctor.
You need an appointment within the next 1 to 2 weeks if you answer "Yes" to
any of the following questions.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have abnormal discharge from your
penis, do not have sexual contact or activity until you have been evaluated by
your health professional. This will reduce the risk of spreading a possible
infection to your sex partner. Your sex partner may also need to be evaluated
and treated.
Call your health professional today if you answer "Yes" to
any of the following questions.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have a rash or growths on your penis
or scrotum, do not have sexual contact or activity until you have been
evaluated by your health professional. This will reduce the risk of spreading a
possible infection to your partner. Your sex partner may also need to be
evaluated and treated.
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
any of the following questions.
Do you have a rash in the genital area that has not gone away after 2
weeks of home treatment?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Home treatment measures can help
relieve pain, swelling, and bruising and promote healing after a genital
injury. These home treatment measures also may be helpful for noninjury
problems. However, if you suspect you may have a more severe injury, use first
aid measures while you arrange for an evaluation by your health
professional.
Home treatment for a minor injury
Rest. Rest and protect
an injured or sore area. Stop, change, or take a break from any activity that
may be causing your pain or soreness.
Ice.
Cold will reduce pain and swelling. Apply an
ice or cold pack immediately to reduce swelling. Apply the ice or cold pack
for 10 to 20 minutes, three or more times a day. A bag of frozen peas or corn
may work as a cold pack. Protect your skin from frostbite by placing a cloth
between the ice and the skin. After 48 to 72 hours, if swelling is gone, apply
warmth to the area.
Support. While recovering from a genital injury, wear jockey
shorts, not boxers, to help support the injured area. You can use a jock strap
if it helps relieve your pain.
Medicine you can buy without a prescription
Try a nonprescription
medicine to help treat your fever or pain:
Aspirin (also a nonsteroidal
anti-inflammatory drug), such as Bayer or Bufferin
Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine.
Safety tips
Be sure to follow
these safety tips when you use a nonprescription medicine:
Carefully read and follow all
directions on the medicine bottle and box.
Do not take more than
the recommended dose.
Do not take a medicine if you have had an
allergic reaction to it in the past.
If
you have been told to avoid a medicine, call your doctor before you take
it.
If you are or could be pregnant, do not take any medicine other
than acetaminophen unless your doctor has told you to.
Minor rashes that are red and itchy. These may be caused by contact with a
substance (contact dermatitis), such as poison ivy, that causes an allergic
reaction.
Symptoms to Watch For During Home Treatment
Use the Check Your Symptoms section to
evaluate your symptoms if any of the following occur during home
treatment:
Swelling develops in the
scrotum or
lymph nodes in the groin.
A rash gets
worse or has not improved after 1 week of home treatment.
Symptoms
become more severe or frequent.
Prevention
The following prevention measures may help
you reduce your risk of problems in the genital area. If you find a lump,
growth, or other change in the genital area, use the Check Your Symptoms
section to determine if and when you need to see your health
professional.
Testicular self-exam
You may want to do a
testicular self-exam once a month. The best time to do
the exam is after a warm bath or shower when the scrotal skin is
relaxed.
Male teens, young men, and men who have had
undescended testicles or a family history of
testicular cancer have an increased risk for
developing testicular cancer.
Delay sexual activity until you are prepared both physically and
emotionally to have sex. Nearly two-thirds of all STDs occur in people younger
than 25 years old. Sexually active
teenagers are at high risk for STDs because they
frequently have unprotected sex and have multiple partners. Biological changes
during the teen years also may increase the risk of getting an STD.
Practice safe sex
Preventing a sexually
transmitted disease (STD) is easier than treating an infection once it
occurs.
Talk with your partner about STDs before
beginning a sexual relationship. Find out if he or she is at risk for an STD.
Remember that it is quite possible to be infected with an STD without knowing
it. Some STDs, such as
HIV, can take up to 6 months before they can be
detected in the blood. Ask about the following:
How many sex partners has your new
potential partner had?
If the STD is not curable, what is the best way to protect
yourself?
Be responsible.
Avoid sexual contact or activity if you
have
symptoms of an STD or are being treated for an
STD.
Avoid sexual contact or activity with anyone who has symptoms
of an STD or who may have been exposed to an STD.
Abstain from sexual intercourse to prevent
any exposure to STDs.
Don't have more than one sex partner at a time. Your risk of
an STD increases if you have several sex partners at the same time.
Condom use
Condoms can be used not only to
prevent pregnancy but also to help protect against
sexually transmitted diseases. Use a condom during
vaginal, oral, or anal sex with a new partner until you are certain that he or
she does not have any sexually transmitted diseases, including human
immunodeficiency virus (HIV).
In a long-term, single-partner (monogamous)
relationship, partners may choose to quit using condoms to prevent STDs.
However, using some form of birth control is important to prevent an unintended
pregnancy.
Jock itch and yeast infection
Steps to prevent
jock itch (fungal infection of the skin in the groin) or
yeast infection (cutaneous candidiasis) include the
following:
Dry yourself well after bathing. Use a hair
dryer to dry your groin area.
Wear cotton underwear and
loose-fitting clothes. Avoid tight pants.
Use a powder to absorb
moisture.
If you have athlete's foot, put your socks on before your
underwear. This can prevent fungi from spreading from your feet to your groin
when you put on your underwear.
Change out of a wet bathing suit
soon after swimming so that your skin can dry out.
You can help your
health professional diagnose and treat your condition by being prepared to
answer the following questions.
Before your appointment
If you have a genital rash, do not have
sexual contact or activity while waiting for your appointment. This will reduce
the risk of transmitting a possible infection to your partner. If you do have
an STD, your sex partner or partners need to be evaluated and treated
also.
Questions to prepare for your health professional
What are your main symptoms? How long have
you had your symptoms?
Have you had this problem before? If so, do
you know what caused the problem at that time? How was it
treated?
What activities make your symptoms better or worse? What
sports do you participate in?
How and when did an injury occur? How
was it treated?
Have you had any injuries in the past to the same
area? Do you have any continuing problems because of the previous
injury?
Have you had infections or rashes in the genital area in
the past?
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.