A burning feeling in the penis can result from many different issues — infections, skin irritation, chemical exposure, or urinary tract problems are frequent causes. Below is general information on likely causes, accompanying signs that help identify the source, and which specialists might be appropriate to consult. This page is for general information and not a substitute for professional evaluation.
Frequent reasons for penile burning include sexually transmitted infections (for example chlamydia, gonorrhea, herpes), yeast infections, balanoposthitis, and urinary tract infections. Noninfectious causes include contact dermatitis from soaps, lotions or spermicides, irritation from tight or synthetic underwear, skin conditions such as eczema or dryness, and, less commonly, nerve-related pain or effects of systemic disease.
Associated findings help narrow the cause. Burning that worsens with urination, increased urinary frequency, persistent pain after voiding, or bloody or foul-smelling discharge suggest an infection. Visible redness, blisters or raised lesions, intense itching, or malodorous discharge are important clues. Fever, shaking, severe pain, inability to pass urine, or rapidly worsening swelling are warning signs that need prompt assessment.
Initial evaluation often starts with a primary care clinician or urologist. The doctor will take a medical history and perform a physical exam; tests may include urine analysis, swabs of any discharge or lesions, and skin sampling when relevant. If the main problem appears dermatologic, see dermatology/venereal disease specialists; recurrent or complicated infections may involve infectious disease specialists. Your clinician will advise appropriate referral based on findings.
Gentle genital hygiene, choosing breathable cotton underwear, avoiding heavily fragranced soaps and lotions, and using barrier protection during sexual activity can reduce irritation and infectious risk. Avoid self-prescribing medications or delaying consultation if symptoms persist or worsen. For severe or rapidly worsening symptoms, seek urgent medical care or emergency services.
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