Do you have a problem in the genital area?
This includes problems with the penis or scrotum.
Yes
Problem in the genital area
No
Problem in the genital area
How old are you?
Less than 12 years
Less than 12 years
12 years or older
12 years or older
Are you male or female?
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Do you have problems with urination?
Yes
Problems with urination
No
Problems with urination
Have you injured your scrotum or penis?
Yes
Injury to scrotum or penis
No
Injury to scrotum or penis
Is there a deep cut or has any part of the penis or scrotum been cut off?
Yes
Deep cut or amputation
Have you had trouble getting an erection since the injury?
Yes
Impotence after injury
Do you have pain in the groin area?
This includes the penis, scrotum, or testicles.
How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
8 to 10: Severe pain
Severe pain
5 to 7: Moderate pain
Moderate pain
1 to 4: Mild pain
Mild pain
Has the pain:
Gotten worse?
Pain is getting worse
Stayed about the same (not better or worse)?
Pain is unchanged
Gotten better?
Pain is getting better
Are you able to urinate at all?
Do you have pain on one side of your back, just below your rib cage?
This is called flank pain. It sometimes is a symptom of a problem with the kidneys.
Do you think you may have a fever?
Are there red streaks leading away from the area or pus draining from it?
Do you have diabetes, a
weakened immune system, peripheral arterial disease, or any surgical hardware in the area?
"Hardware" includes things like artificial joints, plates or screws, catheters, and medicine pumps.
Yes
Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area
No
Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area
Is there any new discharge coming from the opening of the penis?
This could be pus, blood, a clear discharge, or bloody semen.
Is the only problem blood in your semen?
Do you think that the genital problem may have been caused by abuse?
Yes
Genital problem may have been caused by abuse
No
Genital problem may have been caused by abuse
Is there an object around or in the penis or scrotum?
Yes
Foreign object around or in penis or scrotum
No
Foreign object around or in penis or scrotum
Do you have an erection that has lasted more than 3 hours and will not go away?
Yes
Erection lasting more than 3 hours
No
Erection lasting more than 3 hours
Is there a problem with the foreskin of the penis?
Is the foreskin pulled back, swollen, or blocking the flow of urine?
Yes
Foreskin is pulled back, swollen, or blocking flow of urine
No
Foreskin is pulled back, swollen, or blocking flow of urine
Can you return the foreskin to its normal position?
Yes
Able to return foreskin to normal position
No
Unable to return foreskin to normal position
Are you having new trouble pulling back the foreskin?
Yes
New problem retracting foreskin
No
New problem retracting foreskin
Do you think you may have been exposed to an STI (sexually transmitted infection)?
This means that you had sexual contact (including oral sex) with someone that you know or think has an STI.
Is there a rash in the groin area?
This could include a rash, blisters, or an open sore in the groin area.
Are there blisters on the penis?
Do you have an open sore?
Is there a lump, a bulge, or any swelling or other changes in your testicle, scrotum, or groin area?
Yes
Lump, bulge, swelling or other change in testicle, scrotum, or groin area
No
Lump, bulge, swelling or other change in testicle, scrotum, or groin area
Is the lump, bulge, or swelling new or changing?
Yes
Lump, bulge, or swelling is new or changing
No
Lump, bulge, or swelling is new or changing
Have you had problems in the genital area for more than 2 weeks?
Yes
Genital problems for more than 2 weeks
No
Genital problems for more than 2 weeks
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Symptoms of infection may include:
- Increased pain, swelling, warmth, or redness in or around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
Pain in adults and older children
- Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
Urinary symptoms may include:
- Pain when you urinate.
- Trouble urinating.
- Not being able to urinate at all.
- Blood in your urine.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
- Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Urinary Problems and Injuries, Age 11 and Younger
Urinary Problems and Injuries, Age 12 and Older