Our expert says:
Hallo Mickey C
I think you have 2 problems - it sounds to me as if you have a chronic epididymitis ( inflammation of the tube that runs from the testicle to the penis) and the lesion you have on the head of the penis may be lichen planus.
Chronic epididymitis can be caused by infections, certain medications (amiodarone), or an abnormal pain reflex in the area of the genitals, but in many cases the cause is unknown. Your doctors did the right thing to test for STD's and to do a sonar to exclude torsion of the testis. Treatment may vary from antibiotics, to anti inflammatories, even anti-epileptic or antidepressant medication ( these last two help for abnormal pain impulses) or cortisone injections. Rarely operation may be indicated.(http://www.medicineonline.com/topics/C/2/Chronic-Epididymitis/info/Treatment-&-Monitoring.html)
Lichen planus is also an inflammatory skin disease, and in 2/3 of patients the lesion goes away by itself in 2 years. Cortisone or tacrolimus cream may help for this.
I hope this helps!
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