Differential Diagnosis for Burning Pain in Penis when not Peeing
- Single most likely diagnosis
- Urethritis: This condition, which is an inflammation of the urethra, is often caused by sexually transmitted infections (STIs) such as gonorrhea or chlamydia. The burning pain in the penis, especially when not urinating, is a common symptom of urethritis.
- Other Likely diagnoses
- Prostatitis: Inflammation of the prostate gland can cause pain in the penis, perineum, and lower back. Although the pain is often associated with urination, it can also occur at other times.
- Epididymitis: This is an inflammation of the epididymis, a tube at the back of the testicle that stores and carries sperm. It can cause pain in the testicle and penis, which may be constant or may come and go.
- Balanitis: An inflammation of the glans (head) of the penis, often caused by poor hygiene or STIs, can lead to burning pain and discomfort.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Testicular torsion: Although this condition typically presents with sudden, severe testicular pain, it can occasionally cause pain that radiates to the penis. It is a medical emergency that requires immediate attention.
- Penile cancer: While rare, penile cancer can cause pain, bleeding, or discharge from the penis. Early detection is crucial for effective treatment.
- Rare diagnoses
- Peyronie's disease: A condition characterized by the development of scar tissue inside the penis, leading to curved, painful erections.
- Neuropathic pain: Certain conditions, such as nerve damage or neuropathy, can cause burning pain in the penis without any obvious physical cause.
- Reiter's syndrome: A form of reactive arthritis that can cause inflammation and pain in the penis, among other symptoms.