What is the cause of dysuria (painful urination) and intermittent papules on the glans penis?

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Differential Diagnosis for Burning Pain in Penis with Intermittent Bumps on Glans

  • Single Most Likely Diagnosis
    • Genital Herpes: This condition is characterized by painful blisters or bumps on the genital area, including the penis, which can cause burning pain, especially when urinating. The intermittent nature of the bumps and the burning pain when not peeing align with the symptoms of genital herpes.
  • Other Likely Diagnoses
    • Balanitis: An inflammation of the glans penis, often caused by poor hygiene, infections (bacterial, fungal, or viral), or allergic reactions. It can present with burning pain and bumps on the glans.
    • Phimosis: A condition where the foreskin cannot be fully retracted over the glans, which can lead to irritation, infection, and symptoms like burning pain and bumps.
    • Urethritis: Inflammation of the urethra, often due to infection, which can cause burning pain during urination but may also be present at other times, along with possible discharge or bumps on the glans.
  • Do Not Miss Diagnoses
    • Penile Cancer: Although rare, any unusual or persistent lesions on the penis should be evaluated for cancer. Early detection is crucial for effective treatment.
    • Sexually Transmitted Infections (STIs) like Syphilis: Certain STIs can present with genital ulcers or bumps and must be considered due to their potential for serious complications if left untreated.
  • Rare Diagnoses
    • Fixed Drug Eruption: A rare condition where certain medications cause skin lesions, including on the genital area, which can appear as bumps and cause burning pain.
    • Lichen Sclerosus: A chronic inflammatory skin condition that can affect the genital area, leading to white patches, thinning of the skin, and sometimes painful lesions or bumps.
    • Psoriasis: Although more commonly associated with skin lesions elsewhere on the body, psoriasis can occasionally affect the genital area, causing red, scaly patches that might be mistaken for bumps and could cause discomfort or burning pain.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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