A man who showed up at the hospital complaining of a sore penis ended up having part of it removed, doctors said.
They diagnosed him with a rare case of gout – a disease known to afflict King Henry VIII – and discovered that it occurred at the “unusual spot” of his manhood.
The 40-year-old suffered from swelling around his penis for two years before being admitted to Chicago’s Hospital of Cook County.
Doctors diagnosed him with the surprising condition and his foreskin and other affected areas were removed during surgery.
dr Mustafa Farooqi of Rush University said: “Gouty tophi in the penis is exceptionally rare.
“Therefore, there is currently no specific standard treatment.
“In cases where medical treatment with a uricosuric or allopurinol fails and symptoms persist, surgical removal may be considered, as was the case in this case.”
Around 1.5 million Britons are living with gout, according to Arthritis Action.
The disease is a form of arthritis that causes sudden joint pain that can last up to a week.
It can run in families and is particularly common in men and in people who are overweight, drink too much alcohol, and eat a lot of fatty foods like meat.
Symptoms include hot, swollen, red skin over a joint, according to the NHS – usually the big toe, but feet, hands, wrists, elbows or knees can also be affected.
Your GP may test your blood for a chemical called uric acid, which can cause crystals to form around your joints, causing pain.
They can treat it with anti-inflammatory drugs like ibuprofen, or they can put you on steroids if the attack is particularly bad.
It’s rare to have chronic gout, which can cause tiny white lumps called tophi to form under the skin, usually on the ears, fingers, or elbows.
The latest case reported in the Elsevier Journal Case reports from urologywas an extremely rare case of penile lumps.
He had been diagnosed with gout six weeks earlier when the bumps appeared elsewhere on his body.
Other doctors gave him standard treatment for gout, but it didn’t affect the lumps on his penis.
They made it difficult for the foreskin to retract and he said sex was painful.
The doctors decided to operate and removed the affected parts under anesthesia. Since then he has recovered.