Can Herpes Causes Painful Sores At The Base Of The Glans?

Posted on Wed, 20 Sep 2017

Question: I have a sore at the base of the head of my penis. It's gotten progressively worse over time and is very painful. I have had herpes for 30 yrs but this is a constant sore and has only come about in the last several years. Anytime I get an erection it feels like it's rips or tears the skin and hurts like crazy. Help with what this is?

Answered by Dr. Ivo Ditah (59 minutes later)

Brief Answer:
Kindly upload these pictures for review!

Detailed Answer:
Hi and thanks so much for this query.

I will like to see the images. It is only be seeing these images that you can be provided with a personalized and helpful response. Without images, the response might be too generic and not directly helpful to you.

To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query.

I do promise to get back to you with more insights and helpful recommendations as soon as the requested information gets here.

Waiting...

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (1 hour later)

Pics have been attached. Also, I would assume this isn't tied to the herpes as with it if I have an outbreak it goes away after a few days. This is continually like this and painful. Also when I touch the end of my penis (hole) it is always very sore too.

Answered by Dr. Ivo Ditah (57 minutes later)

Brief Answer:
Are you circumcized?

Detailed Answer:
Hi,

I have a quick question for you after reviewing these images. Are you circumcised? For how long have you had this lesion?

Am right here waiting...

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (18 hours later)

Yes I am circumcised. I've gained weight over the years and seems like I'm not due to the skin going over the penis head now most of the time. I've had this for quite awhile now. Maybe a few years. At first is was just a little sore but has grown over time and now everytime I get an erection or masturbate it puffs up and then feels like my skin is split open. It's really hurts to pull back the skin over the penis head for several days after. Naturally when I go pee if any gets in the open sore it's very painful as well.

Answered by Dr. Ivo Ditah (16 hours later)

Brief Answer:
You need to get evaluated!

Detailed Answer:
Hi and thanks so much for these images.

I have reviewed these images fully. While they are not suggestive of a sexually transmitted infection, it shows signs of a long standing wound. With continued erections, healing becomes a lot difficult and fragilised.

I recommend a consultation and aggressive wound management. You would certainly need to reduce your sexual activity especially that involving or resulting in erections.

Let me know when you proceed with this and the response to management.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar