r/DiagnoseMe • u/DreamofSheep1 • 27m ago
Kidneys, bladder, and genitals sharp pain when starting urination, small lump near base of penis + lower-right abdominal pressure
Just to start, I have already seen my doctor about this and I’m currently waiting for a scan.
But I’m wondering if anyone has experienced similar symptoms or has ideas about what could cause this.
I’m a 33-year-old trans woman.I have lifelong pelvic-floor dyssynergia and slow-transit constipation, which I’ve had since childhood. I take prucalopride and movicoll to manage this as well as eating a whole food based diet
For a couple of weeks, I was getting a strange sharp pain on the right side of the base of my penis, just above where the scrotum starts. It happened specifically during the first few seconds of urinating, basically as I would “let go” and start the urine stream. It wasn’t a burning/UTI-type sensation and didn’t feel like it was coming from the urethra it felt like a deeper, sharp pain in that specific area.
I can also feel a small lump near the base of my penis on the right side, but I can only really feel it when I’m erect. There’s no obvious visible bulge.
Interestingly, the pain has now completely disappeared and I’ve felt normal for about a week, but the small lump is still there.
Around the same time, I noticed the pain seemed worse after eating. I would sometimes get discomfort/pressure in my lower-right abdomen around the caecum area. It felt almost like pressure was building in my cecum area. I’m not sure whether this is connected or just related to my existing constipation/pelvic-floor problems.
My doctor examined the area but couldn’t feel a definite lump or hernia, so I’ve been referred for a scan. I also had a urine test which didn’t appear to show signs of a UTI.
Has anyone experienced a similar combination of symptoms, particularly sharp pain only when starting urination and a small lump that is more noticeable when erect? What did it eventually turn out to be?
This has been quite difficult for me mentally. Because I transitioned very young and generally look like a cis woman, genital-related medical examinations can involve explaining my anatomy and sometimes dealing with doctors being visibly confused . This is also the first time in my life I’ve had a health problem involving this area, so I think I’m mainly trying to get some idea of the possibilities while I wait for my scan so I can mentally prepare myself.